State Licensed Utilization Review Nurse
Company: VirtualVocations
Location: Huntington
Posted on: April 6, 2025
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Job Description:
A company is looking for a Utilization Review Nurse- PRN (9a-9p
EST).
Key Responsibilities
Review and evaluate electronic medical records for emergency
admissions and assess medical necessity using InterQual or MCG
criteria
Apply evidence-based clinical guidelines to ensure proper
utilization of healthcare resources
Participate in discussions with emergency department physicians
regarding documentation and admission status
Required Qualifications
Current and unrestricted RN license
At least 3 years of clinical experience in an acute care setting,
particularly in emergency room, critical care, or medical/surgical
nursing
At least 2 years of utilization management experience in acute
admission and concurrent reviews
Intermediate experience with InterQual and/or MCG criteria within
the last two years
Proficiency in medical record review in an electronic medical
record (EMR) system
Keywords: VirtualVocations, Huntington , State Licensed Utilization Review Nurse, Healthcare , Huntington, West Virginia
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