What are the responsibilities and job description for the Utilization Review (UR) RN position at United Health Care Staffing?
The RN assesses medical records to verify that treatments, procedures, or hospital admissions are medically necessary according to clinical guidelines, insurance policies, and medical standards.
They review patients' charts to evaluate the appropriateness of care, the length of stay, and the interventions being provided.
The RN applies evidence-based clinical guidelines to ensure that the care provided is in line with the best practices and standards.