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Ohio Licensed Utilization Management Nurse

Company: VirtualVocations
Location: Virginia Beach
Posted on: January 28, 2025

Job Description:

A company is looking for a Utilization Management Review Nurse.



Key Responsibilities

Utilizes clinical knowledge to interpret criteria and provide appropriate treatment and services for members
Coordinates and communicates with providers, members, and other parties to facilitate optimal care
Makes independent decisions regarding work methods and follows established guidelines


Required Qualifications

Licensed Registered Nurse (RN) in the state of Ohio with no disciplinary action
3 - 5 years of experience in Medical Surgery, Heart, Lung, or Critical Care Nursing
Previous experience in utilization management
Prior clinical experience in an acute care, skilled, or rehabilitation setting
Comprehensive knowledge of Microsoft Word, Outlook, and Excel

Keywords: VirtualVocations, Virginia Beach , Ohio Licensed Utilization Management Nurse, Healthcare , Virginia Beach, Virginia

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