Michigan Licensed Utilization Review NurseVirtualVocations • Cranston, Rhode Island, United States
Michigan Licensed Utilization Review Nurse
VirtualVocations • Cranston, Rhode Island, United States
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A company is looking for a Michigan Utilization Review Nurse - LPN (100% Remote).
Key Responsibilities
Perform Utilization Review to determine the medical necessity of services for Michigan Auto No-Fault injuries
Educate patients and the provider community regarding the Michigan Utilization Review process and its governing laws
Utilize knowledge of medical management related to auto claims and relevant coding systems
Required Qualifications
Graduate of an accredited school of nursing
Active Nursing License in good standing - LPN
3-5 years of Med-Surge experience
Knowledge of Michigan PIP / No-Fault and InterQual / Review Manager / CERME preferred
Experience in Utilization Review and familiarity with CPT and ICD-9 / ICD-10 coding preferred
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