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Utilization Review RN

VirtualVocations
Portland, Oregon, United States
Full-time

A company is looking for a Utilization Review Registered Nurse.Key Responsibilities : Complete medical necessity and level of care reviews using clinical judgment and guidelinesObtain necessary information to assess member's clinical conditionRefer members for further care engagement when neededRequired Qualifications : Active, unrestricted RN licensure in the United States or compact multistate unrestricted RN licenseAssociate Degree in Nursing or equivalentAbility to obtain additional state licenses as needed1+ year of utilization review experience in managed care2+ years of clinical experience, including 1+ year in an acute care setting

19 days ago
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