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Oregon Licensed Utilization Management RN

Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025

Job Description:

A company is looking for an RN Utilization Management (Relief).
Key Responsibilities

Conducts concurrent and retrospective utilization management reviews to ensure medical necessity and appropriate patient status
Collaborates with interdisciplinary teams, physicians, and payors to address medical necessity and status concerns
Monitors and reports on the effectiveness of the utilization management program, implementing process improvements as needed

Required Qualifications

Graduate of an accredited school of nursing
Current Oregon RN license
Three years of acute care clinical nursing experience
Two years of utilization management experience or equivalent professional experience
Experience working with electronic health records

Keywords: VirtualVocations, Pasadena , Oregon Licensed Utilization Management RN, Healthcare , Vista, California

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