Utilization Management RN - WV Licensed
Company: VirtualVocations
Location: Orange
Posted on: October 20, 2024
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Job Description:
A company is looking for a Utilization Management RN to
collaborate with the Medical Director in driving care variance
reduction and timely discharges.
Key Responsibilities
Assist in building and implementing care management review
processes consistent with industry standards
Work collaboratively with the medical management team to identify
members needing enhanced healthcare outcomes
Educate internal and external stakeholders to improve processes and
build network relationships
Required Qualifications, Training, and Education
Current unencumbered licensure as a Registered Nurse in the
appropriate state
Three years of healthcare clinical experience
Bachelor's Degree in Nursing or currently enrolled in a BSN
program
Experience in Medical Management for Medicare and/or Medicaid
populations
Utilization Review experience preferred
Keywords: VirtualVocations, Newport Beach , Utilization Management RN - WV Licensed, Healthcare , Orange, California
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