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Utilization Management Nurse Reviewer

Company: VirtualVocations
Location: Springfield
Posted on: October 30, 2024

Job Description:

A company is looking for a Utilization Management Nurse Reviewer for a weekend shift.



Key Responsibilities

Conduct assessments of medical services to validate appropriateness and necessity
Examine patient records to verify quality of care and necessity of services
Collaborate with management teams, physicians, and the Medical Director to optimize patient care


Required Qualifications, Training, and Education

Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college
Minimum of 2 years of clinical nursing experience
At least 1 year of previous experience in Utilization Management
Proficient in Microsoft tools such as Word, Excel, PowerPoint, and Outlook
Knowledge of regulatory prerequisites for utilization review

Keywords: VirtualVocations, Lowell , Utilization Management Nurse Reviewer, Healthcare , Springfield, Massachusetts

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