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Remote Maryland Licensed Utilization Review Registered Nurse Case Manager

Company: VirtualVocations
Location: Fontana
Posted on: September 22, 2022

Job Description:

A health services company is searching for a person to fill their position for a Remote Maryland Licensed Utilization Review Registered Nurse Case Manager.

Core Responsibilities Include:
Performing real-time chart reviews in regards to compliance and physician documentation
Communicating with third party payers and initial denials
Reviewing patient records according to payor contractual agreements or as needed
Qualifications for this position include:

Graduate of an accredited nursing program, BSN
Current Maryland RN license
2-5 years acute Case Management experience
Minimum of 5 years recent nursing experience with a broad clinical nursing background
Able to use medical necessity screening tools, such as InterQual/MCG

Keywords: VirtualVocations, Fontana , Remote Maryland Licensed Utilization Review Registered Nurse Case Manager, Healthcare , Fontana, California

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