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Utilization Management RN - WV Licensed

VirtualVocations
Springfield, Missouri, United States
Full-time

A company is looking for a Utilization Management RN to collaborate with the Medical Director in driving care variance reduction and timely discharges.

Key ResponsibilitiesAssist in building and implementing care management review processes consistent with industry standardsWork collaboratively with the medical management team to identify members needing enhanced healthcare outcomesEducate internal and external stakeholders to improve processes and build network relationshipsRequired Qualifications, Training, and EducationCurrent unencumbered licensure as a Registered Nurse in the appropriate stateThree years of healthcare clinical experienceBachelor's Degree in Nursing or currently enrolled in a BSN programExperience in Medical Management for Medicare and / or Medicaid populationsUtilization Review experience preferred

9 hours ago
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