State Licensed Utilization Review NurseVirtualVocations • Santa Clara, California, United States
State Licensed Utilization Review Nurse
VirtualVocations • Santa Clara, California, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Nurse.
Key Responsibilities
Review and evaluate electronic medical records for emergency department admissions and screen for medical necessity
Apply evidence-based clinical guidelines to assess healthcare resource utilization
Participate in discussions with emergency department physicians regarding documentation and admission status
Required Qualifications
Current and unrestricted RN license
At least 3 years of clinical experience in an acute care setting
At least 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 electronic medical record (EMR) review
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Utilization Review Nurse • Santa Clara, California, United States
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