Weekend RN Reviewer - Tulsa Oklahoma

Company: VirtualVocations
Location: Tulsa, Oklahoma
Posted On: 01/29/2025

A company is looking for a Weekend RN Reviewer to perform medical necessity reviews and collaborate with healthcare providers.



Key Responsibilities

Perform medical necessity reviews including inpatient, concurrent, prior authorization, and retrospective reviews
Communicate with providers and facility staff to ensure member needs are met
Document clinical information accurately and participate in quality improvement activities


Required Qualifications, Training, and Education

Registered Nurse with an active, unencumbered license in the state of residence
Minimum of 3 years of clinical experience, with required Utilization Management experience
Bachelor's degree preferred in Nursing, Business, or equivalent professional work experience
Experience in acute care or post-acute care environments
MCG certification preferred More...

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