West Virginia Licensed Utilization Review RN

Company: VirtualVocations
Location: Arlington
Posted on: February 5, 2025

Job Description:

A company is looking for a Utilization Review RN.

Key Responsibilities

Review and assess clinical information to support Utilization Management decisions
Facilitate communication with payors to ensure authorization processes are completed effectively
Collaborate with interdisciplinary teams to manage concurrent denials and optimize reimbursement

Required Qualifications

Bachelor's degree in nursing
Current unencumbered licensure as a registered professional nurse
Three years of clinical experience in a hospital setting
Prior case management experience preferred
Knowledge of federal regulations and payor requirements

Keywords: VirtualVocations, North Richland Hills , West Virginia Licensed Utilization Review RN, Healthcare , Arlington, Texas

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