Keyskills :
Claims Management , Clinical Knowledge , Clinical Nursing , Clinical Operations , Clinical Practice , Clinical Reasoning , Commitment , Communication , Comprehensive , Computer Operations , Critical Thinking , Determination , Facilitate , Health Insurance , Healthcare , Healthcare Delivery , Inclusive , Insightful , Insurance , Insurance Claims , Internet , Interpersonal Skills , Life Insurance , Managed Care , Management , Management Process , Medical Management , Medical Necessity , Medical Procedures , Medical Services , Microsoft Access , Microsoft Excel , Microsoft Word , Peer Review , Performance Culture , Pet Insurance , Pharmacy , Practical , Professional Communication , Reasoning , Short-Term Disability , Training , Utilization Management , Workspace , Written Communication
Designation:
N/A
Job Description:
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the necessity a…