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NJ Licensed RN - Utilization Review

Company: VirtualVocations
Location: Downey
Posted on: March 28, 2025

Job Description:

A company is looking for a RN I (Part Time Week Ends) UR/Prior Authorizations.
Key Responsibilities

Assess patient's clinical needs against established guidelines to ensure appropriate care levels
Evaluate the necessity and efficiency of medical services and coordinate care plans
Document care activities accurately and advocate for members among various healthcare providers

Required Qualifications

High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
Minimum of two (2) years clinical experience required
Active Unrestricted NJ RN License or active Compact License required
Proficiency in personal computers and supporting software in a Windows environment preferred
Working knowledge of case/care management principles and utilization management preferred

Keywords: VirtualVocations, Downey , NJ Licensed RN - Utilization Review, Healthcare , Downey, California

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