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State Licensed Utilization Review Nurse
State Licensed Utilization Review NurseVirtualVocations • Spokane, Washington, United States
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocations • Spokane, Washington, 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 • Spokane, Washington, United States

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