Utilization Review Nurse - RN
Company: VirtualVocations
Location: Salt Lake City
Posted on: November 1, 2024
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Job Description:
A company is looking for a Utilization Review Nurse for remote
work.
Key Responsibilities
Review electronic medical records for emergency admissions and
assess medical necessity using InterQual or MCG criteria
Engage in telephonic discussions with emergency department
physicians regarding documentation and admission status
Enter clinical review information into the system for insurance
authorization transmission
Required Qualifications
Current RN licensure
At least 3 years of clinical experience in an acute care setting
(emergency room, critical care, or medical/surgical nursing)
A minimum of 2 years of utilization management experience in acute
admission and concurrent reviews
Intermediate experience with InterQual and/or MCG criteria within
the last two years
Proficiency in medical record review in an electronic medical
record (EMR) system
Keywords: VirtualVocations, Salt Lake City , Utilization Review Nurse - RN, Healthcare , Salt Lake City, Utah
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