Overview
We are looking to hire a Utilization Review Nurse for a Healthcare Organization in Houston, Texas, This is a full time permanent role. The position is hybrid but will start off full time onsite. Once training is completed, it will transition into a hybrid role. The candidate must have inpatient Utilization Review experience.
Job Summary
The Utilization Review Nurse plays a critical role in evaluating the appropriateness and necessity of patient care, ensuring compliance with regulations, and promoting cost-effective practices. This role involves critical analysis of medical records, collaboration with healthcare providers, and communication with insurance companies, all aimed to enhance patient outcomes while optimizing organizational efficiency.
Key Responsibilities
Qualifications
Skills
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