Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse- RN.
Key Responsibilities
• Conduct assessments and reviews for medical necessity of treatment requests and plans
• Process appeals for non-certification of services and complete necessary documentation
• Collaborate with hospital staff to prepare patients for discharge and ensure proper referrals
Required Qualifications
• Current RN license in the United States or U.S. territory
• Associate's degree or diploma from a Nursing program required
• Minimum of 1 year clinical experience required
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