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Utilization Review Nurse - GA

Company: VirtualVocations
Location: Bakersfield
Posted on: November 19, 2024

Job Description:

A company is looking for a Utilization Review Nurse Specialist for Georgia Workers' Compensation.



Key Responsibilities

Complete precertification of medical requests and ensure compliance with URAC guidelines
Document and compose letters as per protocol, including final reports and recommendations
Serve as a patient advocate while adhering to legal, ethical, and accreditation standards


Required Qualifications

RN or LPN with a minimum of three years clinical experience in various hospital specialty units
At least two years of experience in Utilization Review in Workers' Compensation or related fields
Certification in Utilization Review (e.g., CPUR, ABQUARP) is preferred
Proof of current State Licensure

Keywords: VirtualVocations, Oxnard , Utilization Review Nurse - GA, Healthcare , Bakersfield, California

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