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Job Requirements of Utilization Review (UR) - Critical Need:
-
Employment Type:
Contractor
-
Location:
Atlanta, GA (Onsite)
Do you meet the requirements for this job?
Utilization Review (UR) - Critical Need
Careers Integrated Resources Inc
Atlanta, GA (Onsite)
Contractor
Job Title: Utilization Review (UR) - Critical Need
Location: Atlanta, GA 30305
Duration: 3+ Months contract (Possible Extension)
Schedule Notes: 08:30 AM to 05:00 PM
Rotating weekends; Sun thru Saturday, varies
Job Summary:
A Utilization Review (UR) Nurse reviews patient charts to ensure treatments, admissions, and length of stay meet medical necessity and insurance guidelines. They work closely with providers, case managers, and insurance companies to obtain authorizations, prevent denials, and support appropriate, cost-effective patient care.
Education:
Required Certification & Licensure:
Location: Atlanta, GA 30305
Duration: 3+ Months contract (Possible Extension)
Schedule Notes: 08:30 AM to 05:00 PM
Rotating weekends; Sun thru Saturday, varies
Job Summary:
A Utilization Review (UR) Nurse reviews patient charts to ensure treatments, admissions, and length of stay meet medical necessity and insurance guidelines. They work closely with providers, case managers, and insurance companies to obtain authorizations, prevent denials, and support appropriate, cost-effective patient care.
Education:
- ASN/ADN
Required Certification & Licensure:
- RN-GA or Compact license
- BLS-AHA
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