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Staff - Registered Nurse RN - Utilization Review - 85K - K Per Year
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- VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Union City, New Jersey.
- Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction.
- Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion.
- Participates and leads improvement teams and projects and other committees related to performance improvement, measurement and documentation.
- Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards.
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