Job Summary
A company is looking for a Utilization Management RN - Remote.
Key Responsibilities
- Perform chart reviews to assess quality, timeliness, and appropriateness of patient care
- Conduct admission reviews for various patient types based on established guidelines
- Implement strategies to reduce length of stay and resource consumption
Required Qualifications
- Associate's degree in nursing from an accredited school
- Current Registered Nursing License
- 4+ years of experience in utilization management
- Familiarity with MCG and InterQual guidelines
- Ability to interpret various forms of instructions
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