RN Utilization Managment
USABLE MUTUAL INSURANCE COMPANY(14 days ago)
About this role
The Utilization Management Nurse reviews medical case files and assesses the appropriateness of healthcare services to ensure medical necessity and cost-effectiveness. They collaborate with healthcare providers and internal staff to promote quality care within compliance standards.
Required Skills
- Nursing
- Clinical Review
- Medical Coding
- Critical Thinking
- Healthcare Management
- Data Analysis
- Communication
- Microsoft Office
- Patient Safety
- Compliance
About USABLE MUTUAL INSURANCE COMPANY
usablemutual.comUSAble Mutual Insurance Company has a rich history of creating insurance plans and services that fit your life…and your budget.
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