Utilization Management Nurse Reviewer
Company: VirtualVocations
Location: Springfield
Posted on: November 6, 2024
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Job Description:
A company is looking for a Utilization Management Nurse Reviewer
II.
Key Responsibilities
Evaluate clinical information to ensure safe and appropriate
healthcare services
Conduct emergency and acute care admissions, concurrent, and
retrospective reviews
Plan and document discharge activities based on clinical conditions
and health plan benefits
Required Qualifications, Training, and Education
Graduate of a registered nursing program approved by the Ohio State
Nursing Board; Bachelor's degree preferred
3 years of experience as a Registered Nurse with clinical and/or
utilization/case management experience
Acute inpatient level of care experience in
Medical/Surgical/Critical Care preferred
Current unrestricted Registered Nurse license in the State of
Ohio
Intermediate Microsoft Office skills and proficiency in navigating
web-based systems
Keywords: VirtualVocations, Newton , Utilization Management Nurse Reviewer, Executive , Springfield, Massachusetts
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