Utilization Review Nurse - Houston

Only for registered members Houston, United States

1 month ago

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Job summary

This position involves performing concurrent reviews of members' overall health, reviewing the type of care being delivered, and evaluating medical necessity. Qualifications include experience in utilization management and utilization review/managed care/hospital setting as an RN.

Responsibilities

  • Perform concurrent reviews to assess member's overall health.
  • Review the type of care being delivered and evaluate medical necessity.

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