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UR Nurse

Location: Dallas Region
Category: Healthcare
Employment Type: Contract To Hire
Contact: debbie.taylor@addisongroup.com

Utilization Review Nurse

Responsibilities:

  • Reviewing pre-certification requests for medical necessity
  • Review clinical information for concurrent reviews
  • Putting together synopsis for insurances by filling in blanks from doctor’s notes
  • Ensuring that health care costs and policies are being properly followed
  • Working with paper charting

Requirements:

  • Current RN license
  • 2+ years’ experience with Utilization Review
  • Knowledge of CPT, ICD-10 codes
  • Experience working on the insurance side a plus