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Utilization Review Nurse - RN

Company: VirtualVocations
Location: Salt Lake City
Posted on: November 1, 2024

Job Description:

A company is looking for a Utilization Review Nurse for remote work.



Key Responsibilities

Review electronic medical records for emergency admissions and assess medical necessity using InterQual or MCG criteria
Engage in telephonic discussions with emergency department physicians regarding documentation and admission status
Enter clinical review information into the system for insurance authorization transmission


Required Qualifications

Current RN licensure
At least 3 years of clinical experience in an acute care setting (emergency room, critical care, or medical/surgical nursing)
A minimum of 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 medical record review in an electronic medical record (EMR) system

Keywords: VirtualVocations, Lehi , Utilization Review Nurse - RN, Healthcare , Salt Lake City, Utah

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