🌟 We're Hiring: Utilization Review Nurse! 🌟

We are seeking a dedicated and detail-oriented Utilization Review Nurse to evaluate medical necessity and appropriateness of healthcare services. The ideal candidate will have strong clinical knowledge, analytical skills, and experience in healthcare quality assurance to ensure optimal patient care while managing healthcare costs effectively.

📍 Location: Chicago, United States

⏰ Work Mode: Work From Office

💼 Role: Utilization Review Nurse

What You'll Do

🎯 Review medical records and treatment plans for appropriateness

📊 Assess medical necessity using established criteria and guidelines

🤝 Collaborate with physicians and healthcare teams on care decisions

📋 Document review findings and recommendations accurately

📞 Communicate with providers regarding authorization decisions

⚖️ Ensure compliance with regulatory standards and policies

What We're Looking For

✅ Active RN license and clinical experience

✅ Knowledge of medical terminology and treatment protocols

✅ Strong analytical and critical thinking skills

✅ Experience with utilization review or case management

✅ Excellent written and verbal communication abilities

✅ Proficiency in healthcare documentation systems

Ready to make an impact? 🚀 Apply now and let's grow together!

24HRPO

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Utilization Review Nurse