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Washington RN Utilization Specialist
A company is looking for a Utilization Management Specialist RN. Key Responsibilities Oversee concurrent utilization management activities and ensure compliance with Utilization Review (UR) processes Serve as a resource for clinical and support staff, providing guidance on complex cases and daily assignments Facilitate optimal reimbursement through accurate admission and continued stay reviews based on regulations and criteria Required Qualifications Bachelor's degree in Nursing or obtained within five years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred Current Registered Nurse license in Washington State or Multistate License endorsement (MLS) Five years of clinical experience required; utilization management and/or insurance industry experience preferred
A company is looking for a Utilization Management Specialist RN.
Key Responsibilities
Oversee concurrent utilization management activities and ensure compliance with Utilization Review (UR) processes
Serve as a resource for clinical and support staff, providing guidance on complex cases and daily assignments
Facilitate optimal reimbursement through accurate admission and continued stay reviews based on regulations and criteria
Required Qualifications
Bachelor's degree in Nursing or obtained within five years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education
Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred
Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
Five years of clinical experience required; utilization management and/or insurance industry experience preferred