Healthcare Utilization Management RN

Company: VirtualVocations
Location: Boca Raton
Posted on: September 17, 2023

Job Description:

A healthcare company is seeking a Healthcare Utilization Management RN Lead I - BPM.
Key Responsibilities:

Perform reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity and appropriate level of care
Contact medical personnel to recommend alternative treatment options
Coordinate care plans and discharge planning needs

Qualifications:

Current unrestricted Registered Nurse license
2-4 years of clinical experience
Knowledge of medical procedures/practices and healthcare delivery processes
Medicare Advantage experience preferred
Knowledge of applicable regulations and accreditation standards

Keywords: VirtualVocations, Boca Raton , Healthcare Utilization Management RN, Healthcare , Boca Raton, Florida

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