…+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US

…+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure

…for using Interqual criteria to perform initial admission reviews for the purpose of utilization review , coverage of services to be provided, as well as

…Minimum Experience: One year related in acute care facility and/or utilization review training and/or healthcare experience. Minimum Experience: Varied

…Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable

…documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend in-service training

…hospital nursing experience required** + **Certification in case management or utilization review preferred** + **InterQual experience preferred** HCA Florida

…+ Employee Payroll - Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician

…group practice management. + Prefer Medical Oncology or Surgery specialties + Utilization management experience in a medical management review organization, such

…in the process. Additionally, we can easily send pertinent documents to you for your review . Once you create the account, you may apply to any position you feel is