Utilization Review RN
Company: VirtualVocations
Location: Boise
Posted on: September 3, 2024
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Job Description:
A company is looking for a Utilization Review Registered
Nurse.
Key Responsibilities:
Complete medical necessity and level of care reviews using clinical
judgment and guidelines
Obtain necessary information to assess member's clinical
condition
Refer members for further care engagement when needed
Required Qualifications:
Active, unrestricted RN licensure in the United States or compact
multistate unrestricted RN license
Associate Degree in Nursing or equivalent
Ability to obtain additional state licenses as needed
1+ year of utilization review experience in managed care
2+ years of clinical experience, including 1+ year in an acute care
setting
Keywords: VirtualVocations, Boise , Utilization Review RN, Healthcare , Boise, Idaho
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