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California Licensed Utilization Review RN
A company is looking for a Utilization Review Author to assist hospital clients with case reviews. Key Responsibilities Perform initial admission and continued stay reviews using InterQual or Milliman to determine appropriate levels of care Abstract data from medical records to ensure accurate clinical information Adhere to quality, timeliness, and productivity standards for nursing utilization review Required Qualifications Active Registered Nurse (RN) license in the state of residence Eligibility to obtain a California RN license Experience in a clinical inpatient environment Hospital-based utilization or case management experience Proficiency in basic computer skills
A company is looking for a Utilization Review Author to assist hospital clients with case reviews.
Key Responsibilities
Perform initial admission and continued stay reviews using InterQual or Milliman to determine appropriate levels of care
Abstract data from medical records to ensure accurate clinical information
Adhere to quality, timeliness, and productivity standards for nursing utilization review
Required Qualifications
Active Registered Nurse (RN) license in the state of residence
Eligibility to obtain a California RN license
Experience in a clinical inpatient environment
Hospital-based utilization or case management experience
Proficiency in basic computer skills
