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RN Utilization Review Nurse

Company: VirtualVocations
Location: Oakland
Posted on: February 4, 2025

Job Description:

A company is looking for a PRN Utilization Review Nurse Reviewer - RN.



Key Responsibilities

Conduct assessments of medical services to validate their appropriateness using established criteria and guidelines
Examine and evaluate patient records to verify the quality of patient care and necessity of services
Provide clinical expertise and serve as a reference for non-clinical staff members


Required Qualifications

Licensed Practical/Vocational Nurse with an active and unrestricted license or a nursing degree from an accredited college
Minimum of 2 years clinical nursing experience required
At least 1 year of previous experience in Utilization Management is required
Background in medical or clinical practice through education, training, or professional engagement
Proficient in Microsoft tools such as Word, Excel, PowerPoint, and Outlook

Keywords: VirtualVocations, Cupertino , RN Utilization Review Nurse, Healthcare , Oakland, California

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