Florida Licensed Utilization Management RN
- Full-time
A company is looking for a Utilization Management RN.
Key Responsibilities
Monitor admissions and perform medical necessity reviews for initial and continued stays
Collaborate with the multidisciplinary care team regarding patient status and manage concurrent denials
Ensure timely communication with insurance carriers to obtain necessary authorizations and prevent reimbursement loss
Required Qualifications, Training, and Education
Associate's degree in Nursing
3 years of clinical nursing experience
Registered Nurse (RN) license
Knowledge of state and federal guidelines pertinent to care management
Ability to navigate and utilize related software and databases for Utilization Management
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Utilization Management Rn • Charleston, South Carolina, United States