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RN Utilization Review Specialist: Care Coordination
Job Description & How to Apply Below
Sentara Health Plans Community Care in Norfolk, VA seeks an Utilization Review Nurse to manage utilization management within licensure. You will handle prior authorization, retrospective review, and pre-certification while coordinating care and communicating decisions to members and providers.
The role requires a RN license, 3 years of acute care experience, and familiarity with Milliman and NCQA standards.
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