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Utilization Review Nurse at Sedgwick - ApplyBlast

Utilization Review Nurse

Sedgwick

4 months ago

3.2 on Glassdoor

Remote

Full Time

Executive

0 applicants

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About this role

A Utilization Review Nurse at Sedgwick evaluates prescribed treatments to ensure patient safety and align with best practice standards for injured employees. The role involves performing clinical assessments, managing complex medical conditions, and collaborating with physicians and claims teams in a remote setting.

Responsibilities

Perform clinical assessments via medical files to evaluate patient conditions
Evaluate treatment utilization and recommend alternative care plans
Collaborate with physicians and claims examiners on treatment issues
Negotiate appropriate levels of care adhering to quality assurance standards
Advocate for patient safety and compliance with ethical regulations

Skills

Qualifications

Active unrestricted RN licenseBachelor's degree in nursing (BSN)2 years of direct clinical experience as an RNCertification in case management or rehabilitation nursing

About Sedgwick

sedgwick.com

Headquarters

United States

Company Size

10001+ employees

Founded

1969

View Profile

Sedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.