Utilization Review RN
Providence Health and Services•Eureka, CA
1d•Remote
About The Position
Remote Utilization Review RN responsible for concurrent reviews, medical necessity determinations, prior authorizations, continued stay reviews, and utilization management using InterQual criteria while ensuring compliance with CMS, Medicare regulations, and hospital guidelines in an acute care setting.
Responsibilities
- concurrent reviews
- medical necessity determinations
- prior authorizations
- continued stay reviews
- utilization management using InterQual criteria
- ensuring compliance with CMS, Medicare regulations, and hospital guidelines in an acute care setting
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
