Oregon Licensed Utilization Review Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 10, 2025
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Job Description:
A company is looking for a Utilization Review Nurse (RN).
Key Responsibilities
Monitor utilization practices from preadmission to discharge to
ensure cost-effective resource use and quality patient care
Conduct reviews of medical records to verify documentation meets
medical necessity criteria according to regulatory guidelines
Collaborate with care team members to improve documentation
accuracy and manage admission status
Required Qualifications and Education
Registered Nurse (RN) with a minimum of 2 years of experience in
utilization review in an acute care setting
Experience with Epic and InterQual systems
Knowledge of payor policies for medical necessity criteria
regarding observation and inpatient care
Able to conduct a minimum of 20 case reviews per shift after
training
Availability to work between 8am and 4pm PST, including one weekend
day every 4-5 weeks
Keywords: VirtualVocations, Florence-Graham , Oregon Licensed Utilization Review Nurse, Healthcare , Vista, California
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