RN Medical Review & Utilization Specialist
Listed on 2026-09-24
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Nursing
RN Nurse
Socket.dev is seeking a Medical Review Specialist, a Registered Nurse responsible for utilization review to determine medical necessity of hospital admissions and procedures. The role requires clinical expertise, documentation, and collaboration with physicians and payers to ensure compliance with Med Watch procedures, URAC standards, and state/federal guidelines.
The position emphasizes preadmission and concurrent reviews, documentation accuracy, and proactive communication with healthcare
We are looking to fill the RN Medical Review & Utilization Specialist position in United States.
Full responsibilities and requirements are described in the listing above.
Learn more about the RN Medical Review & Utilization Specialist role in the description above.
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