ARK Solutions, Inc.
Ark Solutions Inc is looking for Registered Nurse - Utilization Reviews! Position: Registered Nurse - Utilization Reviews Location: REMOTE Duration: 6+ Months and possibility of extension
Required Skills: RN required Case management and nursing experience (5+ years) Preferred Skills: BSN preferred Understanding of both inpatient and outpatient, pre-authorizations Performed in hospital or commercial insurance (outpatient) environment Case Management or Health Care Quality Certification: Case Management/Utilization: CMGT-BC, CMM, or other equivalent Quality: CPHQ or other equivalent Education Required: Associates in Nursing Required: Registered Nurse (RN)
The scope of services includes clinical quality monitoring and applies to the entire Client (both direct and private sector care) and Conduct utilization reviews/Review of the cases on utilization.
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