Utilization Management Nurse Reviewer
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Utilization Management Nurse Reviewer
(RN/LPN).
Key Responsibilities
Conduct assessments of medical services to validate appropriateness
and necessity using established criteria and guidelines
Examine patient records to verify quality of care and necessity of
services provided
Provide clinical expertise and serve as a reference for
non-clinical staff
Required Qualifications, Training, and Education
Licensed Practical/Vocational Nurse or Registered Nurse with an
active and unrestricted license
Minimum of 2 years clinical nursing experience required
At least 1 year of previous experience in Utilization Management
required
Background in medical or clinical practice through education,
training, or professional engagement
Proficient with Microsoft tools such as Word, Excel, PowerPoint,
and Outlook
Keywords: VirtualVocations, Anaheim , Utilization Management Nurse Reviewer, Executive , Vista, California
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