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Veterans in Healthcare

RN Utilization Review Specialist | Night Case Management

yuma, AZ

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About this opportunity

Veterans in Healthcare lists this RN Utilization Review Specialist | Night Case Management opportunity in yuma, Arizona. Review the employer’s description below for duties, qualifications and application requirements.

Job description

The Onvida Health unit at Yuma Regional Medical Center is seeking an RN Utilization Review Specialist for night shift. You will conduct prospective and concurrent medical record reviews to determine medical necessity and appropriate level of care, and support admission and continued stay decisions.

You will collaborate with physicians and care teams, ensure CMS and payer requirements are met, and help optimize reimbursement and resource utilization while maintaining clinical excellence.

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Worksite address

yuma, AZ, 85365, US

Who can apply

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