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Registered Nurse Utilization Management

6/26/2025

N/A

Job Summary

A company is looking for a Utilization Management Nurse RN - National Remote.

Key Responsibilities
  • Review and extract case details from patient medical records and compose appeal letters
  • Ensure compliance with HIPAA confidentiality requirements and company policies
  • Collaborate with peers to maintain communication and meet quality and productivity expectations
Required Qualifications
  • Associates degree (or higher)
  • Active and unrestricted Registered Nurse license in the state of residence
  • 3+ years of bedside nursing experience in ED/telemetry/ICU/CCU
  • Advanced proficiency with Microsoft software and internet navigation
  • Ability to type 45 words per minute

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