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**Job Summary:** We are currently looking for a dedicated Utilization Review Nurse to join our healthcare team. As a Utilization Review Nurse, you will play a crucial role in ensuring the efficient and effective use of medical services for our patients. This position offers a rewarding opportunity to contribute to medical management and improve patient outcomes through utilization review processes. **Duties:** - Conduct utilization reviews to evaluate the necessity, appropriateness, and efficiency of medical services provided. - Collaborate with doctors, nurses, and other healthcare professionals to optimize inpatient care and hospice services. - Utilize HEDIS measures and Athenahealth software to assess and improve healthcare quality. - Implement clinical documentation improvement strategies to enhance patient care documentation accuracy. - Evaluate emergency medicine cases and critical care services for proper utilization. **Qualifications:** - Bachelor's degree in Nursing or related field; RN license required. - Proven experience in medical management, utilization review, or related healthcare roles. - Familiarity with inpatient care, hospice care, and utilization review processes. - Knowledge of HEDIS standards, Athenahealth software, and clinical documentation improvement practices. - Experience in emergency medicine or critical care settings is a plus. Join our team of healthcare professionals dedicated to optimizing medical services and improving patient care outcomes. If you are a detail-oriented nurse with a passion for medical management and utilization review, we invite you to apply for this challenging yet rewarding position as a Utilization Review Nurse.
Job Types: Full-time, Contract
Pay: $2,200.00 - $2,350.00 per week
Healthcare setting:
Schedule:
Experience:
License/Certification:
Work Location: In person
Full Time
$79k-98k (estimate)
07/15/2024
08/04/2024
The job skills required for Registered Nurse Utilization Review include Patient Care, Critical Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Registered Nurse Utilization Review. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Registered Nurse Utilization Review. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Registered Nurse Utilization Review positions, which can be used as a reference in future career path planning. As a Registered Nurse Utilization Review, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Registered Nurse Utilization Review. You can explore the career advancement for a Registered Nurse Utilization Review below and select your interested title to get hiring information.