Georgia Licensed Utilization Review Nurse
Company: VirtualVocations
Location: Astoria
Posted on: February 5, 2025
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Job Description:
A company is looking for a Utilization Review Nurse - LPN
(Remote).
Key Responsibilities:
Conduct concurrent and continued stay Utilization Management
reviews, ensuring accurate data tracking, evaluation, and
reporting
Lead or participate actively in process improvement initiatives,
collaborating with various departments and multi-disciplinary
teams
Efficiently manage a diverse workload in a fast-paced,
ever-evolving regulatory environment
Required Qualifications:
Current PN Nurse license
Associate's degree preferred
2 years of Utilization Management experience in a large health
organization
Hospital case management experience is advantageous
Proficiency in federal and state regulations (DOH,
Medicaid/Medicare) and familiarity with third-party payers and
managed care principles
Keywords: VirtualVocations, Toms River , Georgia Licensed Utilization Review Nurse, Healthcare , Astoria, New Jersey
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