Utilization Review Nurse Specialist
3 semanas atrás
Job Summary: Nezda Global seeks a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will be responsible for reviewing medical records and determining the medical necessity of treatments and services.
Key Responsibilities:
- Review medical records and determine the medical necessity of treatments and services
- Collaborate with healthcare providers to ensure that treatments and services are medically necessary
- Communicate with patients and families to explain treatment plans and options
- Participate in quality improvement initiatives to ensure that healthcare services are delivered in a safe and effective manner
Qualifications:
- PH Registered Nurse licensure
- Active PRC License
- At least 1 year of Utilization Review experience
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