Utilization Review Nurse

2 weeks ago


Newcastle, United States Norman Regional Health System Full time

Utilization Review Nurse

  • Conduct utilization review and management
  • Provide advocacy and education
  • Manage clinical analysis and data
  • Coordinate clinical care management
  • Manage resources and prevent denials
  • Assist with establishing and reviewing departmental metrics
  • Knowledge of medical necessity guidelines for hospitalization status preferred

Qualifications:

  • Diploma or Associate's degree (ADN) required, Bachelor of Science in Nursing (BSN) or Master's of Science in Nursing (MSN) preferred
  • Current RN license required
  • 3 years of acute RN experience required
  • Prior utilization review experience preferred
  • Current Basic Life Support (BLS) certification required

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