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Job Requirements of Utilization Review (RN) - Critical Need:
-
Employment Type:
Contractor
-
Location:
Atlanta, GA (Onsite)
Do you meet the requirements for this job?
Utilization Review (RN) - Critical Need
Careers Integrated Resources Inc
Atlanta, GA (Onsite)
Contractor
Job Title: Utilization Review (RN) - Critical Need
Location: Atlanta, GA
Duration: 3 + Months (Temp to Hire position)
Shift: Mon-Fri (8:00 am to 05:00 pm)
Job Responsibilities:
Certificates required:
Location: Atlanta, GA
Duration: 3 + Months (Temp to Hire position)
Shift: Mon-Fri (8:00 am to 05:00 pm)
Job Responsibilities:
- Performs medical necessity reviews for outpatient services utilizing MCG guidelines, KP and LCD criteria.
- Refers cases to Medical Director for potential denials.
- Float department (if needed).
Certificates required:
- GA RN licensure
- BSN
- BLS
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