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Massachusetts RN Utilization Management
VirtualVocationsOntario, California, 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 an Inpatient Utilization Management Clinician.
Key Responsibilities :
Perform utilization review activities for inpatient cases, applying evidence-based criteria
Monitor inpatient cases for compliance with regulations and facilitate discharge planning
Document and communicate all utilization review activities and outcomes effectively
Required Qualifications, Training, and Education :
Active, unrestricted RN license in state of residence
Nursing degree or diploma required; bachelor's degree in nursing preferred
2+ years of utilization review experience and knowledge of evidence-based guidelines
Experience in managed care and discharge planning
Knowledge of Medicare and Medicaid is desirable
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Utilization Management Rn • Ontario, California, United States
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