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NYS RN Licensed Inpatient Utilization Review Nurse

Company: VirtualVocations
Location: Riverside
Posted on: February 12, 2024

Job Description:

A company is looking for a Utilization Review Nurse - Inpatient.
Key Responsibilities:

Review health care services to ensure medical necessity and effectiveness
Collaborate with physicians and medical directors in determining coverage of requested services
Provide intervention and coordination to decrease delays and denials

Required Qualifications:

Current unrestricted NYS RN license
BSN (advanced degree preferred)
2+ years of utilization review experience at a Managed Care Organization or Health Plan
Working knowledge of Medicaid and/or Medicare regulations
Inpatient experience required

Keywords: VirtualVocations, Riverside , NYS RN Licensed Inpatient Utilization Review Nurse, Healthcare , Riverside, California

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