Massachusetts RN Utilization Management
Company: VirtualVocations
Location: Chesapeake
Posted on: March 12, 2025
|
|
|
Job Description:
A company is looking for an Inpatient Utilization Management
Clinician.
Key Responsibilities:
Conducts utilization review activities for inpatient cases using
evidence-based criteria
Collaborates with care management and medical directors to
facilitate discharge planning and ensure compliance with
guidelines
Monitors inpatient cases for regulatory compliance and provides
guidance to other utilization review nurses
Required Qualifications, Training, and Education:
Active, unrestricted RN license in the state of residence
Nursing degree or diploma required; bachelor's degree in nursing
preferred
2+ years of utilization review experience with evidence-based
guidelines
Managed care experience and familiarity with Medicare and
Medicaid
Ability to take after-hours calls, including evenings and
weekends
Keywords: VirtualVocations, Chesapeake , Massachusetts RN Utilization Management, Healthcare , Chesapeake, Virginia
|
Click
here to apply!
|
