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Utilization Review Nurse III

Company: VirtualVocations
Location: Corona
Posted on: February 8, 2024

Job Description:

A company is looking for a Utilization Review Nurse III.
Key Responsibilities:

Review and document prior authorization requests and member case history for approval of member coverage
Conduct comprehensive admission and concurrent reviews, including post-acute admissions
Interface with providers, facilities, and other departments to ensure compliance and determine outcomes


Associate's or Bachelor's degree in Nursing
5+ years of working experience
Previous utilization management experience preferred
Active, unrestricted RN license required
Technology-savvy with the ability to work within multiple computer applications

Keywords: VirtualVocations, Corona , Utilization Review Nurse III, Healthcare , Corona, California

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