Licensed Utilization Review NurseVirtualVocations • Birmingham, Alabama, United States
Licensed Utilization Review Nurse
VirtualVocations • Birmingham, Alabama, United States
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A company is looking for a Utilization Review Nurse.
Key Responsibilities
Perform prospective, concurrent, and retrospective utilization reviews using evidence-based guidelines
Evaluate severity of illness and intensity of service at the time of inpatient admission
Maintain accurate records of utilization review activities and ensure compliance with regulations
Required Qualifications
Licensed RN or Associate degree in Nursing required
Minimum of two to three years of varied clinical experience required
Managed care experience preferred
InterQual experience is required
Ability to read and interpret documents and make clinical decisions based on evidence-based criteria
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Utilization Review Nurse • Birmingham, Alabama, United States
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