What are the responsibilities and job description for the RN Utilization Review Nurse position at VirtualVocations?
A company is looking for a PRN Utilization Review Nurse Reviewer - RN.Key ResponsibilitiesConduct assessments of medical services to validate their appropriateness using established criteria and guidelinesExamine and evaluate patient records to verify the quality of patient care and necessity of servicesProvide clinical expertise and serve as a reference for non-clinical staff membersRequired QualificationsLicensed Practical / Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited collegeMinimum of 2 years clinical nursing experience requiredAt least 1 year of previous experience in Utilization Management is requiredBackground in medical or clinical practice through education, training, or professional engagementProficient in Microsoft tools such as Word, Excel, PowerPoint, and Outlook
