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Utilization Review Nurse State Licensed

Company: VirtualVocations
Location: Cleveland
Posted on: February 9, 2024

Job Description:

A company is looking for a Utilization Review Nurse.



Key Responsibilities:

Perform medical necessity reviews for inpatient admissions, outpatient services, and procedures
Consult with Medical Directors when care does not meet criteria or medical policies
Collaborate with various departments to ensure consistent application of clinical criteria


Qualifications:

Bachelor's degree or 4 years of work experience
Current State licensure as a registered nurse
3 years of clinical experience
Obtain equivalent WA license within 30 days if located outside Washington State
Utilization Management experience (Preferred)

Keywords: VirtualVocations, Cleveland , Utilization Review Nurse State Licensed, Healthcare , Cleveland, Ohio

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