Georgia Licensed Utilization Review Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025
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Job Description:
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
Keywords: VirtualVocations, National City , Georgia Licensed Utilization Review Nurse, Healthcare , Vista, California
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