Georgia Licensed Utilization Review Nurse - Mobile Alabama

Company: VirtualVocations
Location: Mobile, Alabama
Posted On: 02/05/2025

A company is looking for a Utilization Review Nurse - LPN (Remote).
Key Responsibilities:

Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting
Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams
Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment

Required Qualifications:

Current PN Nurse license
Associate's degree preferred
2 years of Utilization Management experience in a large health organization
Hospital case management experience is advantageous
Proficiency in federal and state regulations (DOH, Medicaid/Medicare) and familiarity with third-party payers and managed care principles More...

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