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Upon completing the Application process qualified candidates will be contacted by one of our representatives to discuss the role applied for as well as other positions aligned with your skills, work experience, and qualifications. This initial consultation is an important opportunity for you to get all of your questions answered and for us to meet your needs as quickly and efficiently as possible.

Job Description

Utilization Review RN

  • Ref:
  • Type: Long Term Contract
  • Location: Bronx NY
  • Setting:
Opportunity Description

Remote Clinical Review Nurse - Utilization Management/Review Nurse

We are currently seeking a qualified and experienced Remote Clinical Review Nurse to join our team. This is a temporary position with no specified end date, intended for long-term engagement. As a Clinical Review Nurse specializing in Utilization Management, the successful candidate will play a crucial role in ensuring the efficiency and quality of healthcare services.

Job Duties

• Conduct thorough Utilization Management reviews to assess the appropriateness and necessity of medical services.

• Ensure compliance with established clinical guidelines and policies.

• Document review outcomes accurately and efficiently.

• Utilize your excellent computer skills for documentation and communication.

• Collaborate with healthcare professionals to optimize patient care.

 

Experience & Skills Required

Proven experience in community or public health nursing. Strong communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team Valid RN license. Proven experience in Utilization Management as an RN. Demonstrated expertise in clinical review processes. Excellent documentation skills with attention to detail. Strong computer proficiency. Ability to work independently and efficiently in a remote setting.

Other Information
  •  Fully remote position.

No geographical restrictions for candidates.

Candidates must be willing to pick up equipment in person at a designated site

 

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