RN Medical Review Specialist — Utilization & Certification
MedWatch
MedWatch is seeking a Medical Review Specialist, a Registered Nurse, to conduct Utilization Review for hospital admissions and outpatient procedures. You will verify medical necessity in accordance with MedWatch procedures, URAC standards, state certification, and federal guidelines. The role requires an RN license, 5+ years of clinical nursing, and strong communication skills. Proficiency with MS Office and a focus on accurate data entry and reporting are essential. #J-18808-Ljbffr MedWatch
Vacancy posted 1 day ago
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