California Licensed Utilization Management RN
Company: VirtualVocations
Location: Aurora
Posted on: October 18, 2024
|
|
|
Job Description:
A company is looking for an RN, Utilization Management -
Remote.
Key Responsibilities
Perform all functions of a UM nurse reviewer and compose compliant
denial letters
Ensure accurate clinical decision-making and documentation for
adverse determinations
Collaborate with UM compliance for quality improvement and escalate
non-compliance cases
Required Qualifications
Graduation from an accredited school of nursing
Active, unrestricted Registered Nurse license through the State of
California
3+ years of care management, utilization review, or discharge
planning experience
Bachelor of Science in Nursing (BSN) preferred
HMO experience preferred
Keywords: VirtualVocations, Cicero , California Licensed Utilization Management RN, Executive , Aurora, Illinois
|
Click
here to apply!
|
