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Nevada Licensed Utilization Review Nurse
VirtualVocationsGrand Rapids, Michigan, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Review Nurse (RN).
Key Responsibilities
Review and evaluate clinical cases for appropriateness against established criteria and medical evidence
Assess needs and coordinate resources to promote optimal health benefits and outcomes
Measure and review performance outcomes, proposing and implementing improvement processes
Required Qualifications
Graduation from an accredited nursing education program
Current, unrestricted, active RN license required
Minimum of three years of Utilization Review or Management / Case Management experience
Recent working knowledge of Interqual criteria and Milliman Care Guidelines required
Minimum of three years in clinical medical / surgical nursing practice within a hospital setting
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Utilization Review Nurse • Grand Rapids, Michigan, United States
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