Utilization Management Specialist - RN
Company: VirtualVocations
Location: Sunnyvale
Posted on: November 8, 2024
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Job Description:
A company is looking for a Utilization Management Specialist
(Home-Based) - Prior Authorization.
Key Responsibilities
Conduct level of care medical necessity reviews and manage prior
authorizations
Collaborate with healthcare team members to promote medically
necessary resource utilization
Monitor utilization of resources and assist in report preparation
and record maintenance
Required Qualifications
Bachelor's degree in nursing preferred; graduate from an accredited
nursing program required
Currently holds an unencumbered registered nurse (RN) license with
the State Board of Nursing
Maintains required department-specific competencies and
certifications
Keywords: VirtualVocations, Merced , Utilization Management Specialist - RN, Executive , Sunnyvale, California
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