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Utilization Review Nurse: Optimize Care & Resources
Job in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-08-04
Listing for:
Socket.dev
Full Time
position Listed on 2026-08-04
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Martin's Point Health Care in Maine seeks an Utilization Review Nurse to ensure high-quality, cost-efficient medical outcomes for enrollees with inpatient/outpatient authorizations. The role reviews prior authorization requests, coordinates discharge planning, and supports transitions of care to appropriate levels.
You will use governmental policies and clinical guidelines to guide medical necessity reviews, maintain timely documentation, collaborate with Medical Directors, providers, and
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