Maine Licensed Utilization Management RN
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Per Diem Utilization Management RN
for a national remote position.
Key Responsibilities:
Validates authorization for procedure and bedded patients and
ensures timely acquisition of pre-certification and continued stay
authorizations
Conducts medical necessity reviews and collaborates with care teams
to validate information and support denials management
Coordinates utilization reviews for all payers upon admission and
throughout inpatient stays, ensuring compliance with Utilization
Management Plan
Required Qualifications:
Associate's degree (or higher) in Nursing
Current and unrestricted RN Compact State licensure or unrestricted
RN license in state of residence and Maine
3+ years of acute clinical practice or related health care
experience
1+ years of Utilization Management RN experience
Experience with Cerner and InterQual, and knowledge of insurance
and denials management
Keywords: VirtualVocations, Highland , Maine Licensed Utilization Management RN, Healthcare , Vista, California
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