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Utilization Management Nurse Reviewer

Company: VirtualVocations
Location: Toms River
Posted on: November 8, 2024

Job Description:

A company is looking for a Utilization Management Nurse Reviewer II.



Key Responsibilities

Evaluate clinical information to ensure safe and appropriate healthcare services
Conduct emergency and acute care admissions, concurrent, and retrospective reviews
Plan and document discharge activities based on clinical conditions and health plan benefits


Required Qualifications, Training, and Education

Graduate of a registered nursing program approved by the Ohio State Nursing Board; Bachelor's degree preferred
3 years of experience as a Registered Nurse with clinical and/or utilization/case management experience
Acute inpatient level of care experience in Medical/Surgical/Critical Care preferred
Current unrestricted Registered Nurse license in the State of Ohio
Intermediate Microsoft Office skills and proficiency in navigating web-based systems

Keywords: VirtualVocations, Westport , Utilization Management Nurse Reviewer, Healthcare , Toms River, Connecticut

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