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Registered Nurse Utilization Management Case Manager
SummaryThe Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity - level of care appropriateness - and compliance with regulatory guidelines to ensure effective utilization of hospital resources. The UM RN collaborates closely with physicians - case managers - social workers - and interdisciplinary teams to support appropriate patient status determination - timely transitions of care - and optimal resource utilization.QualificationsBasic Requirements:English Language ProficiencyIn accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken EnglishGraduate of a school of professional nursi
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