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Utilization Review Nurse
Welcome!
Course Welcome
Private Group Codes & Links
Utilization Review Terminology List
Common Terms & Acronyms Printable
Intro to Utilization Review
What is Utilization Review?
Types of Utilization Review
Prospective Review
Prior Authorization Flow Chart
Samples of Coding and Procedural Prior Authorization
Concurrent Review
Retrospective Review
Utilization Review Nursing Process
UR Nursing Process Timeline
1. Service Request
2. Medical Necessity
3. EBP Standard Guidelines
Samples of EBP Conditions Required by Health Plans
4. Practice Setting
5. Determination
Reasons for Denial
Preparing a Case for a Medical Reviewer
Case Preparation
UR Test, Open Note
Quiz
Utilization Review vs Utilization Management
UR vs UM
UR Nurse Career Development
Moving from bedside to UR
Course Assignment
Resume Template
*extra* Resume Bullet Points
Company Specific Interview Prep
Interview Intro
What to know for a Computer Assessment
Free Microsoft Application Training
CVS/Aetna Interview
Cigna Interview
Centene Interview
Elevance Interview
BCBS Interview
Humana
UR Nurse Job List
Recommended Companies & Application Tips
FREE Job Board Site Resources
Clinical Reviewer RN or LPN, multiple shifts
RN or LPN UM Nurse
UM RN - compact
CONTRACT Remote Clinical Appeals RN Dayton, OH **Candidates can be located anywhere
UTILIZATION MANAGEMENT RN - REMOTE (PA, NJ, DE)
Clinical Reviewer - LPN
Registered Nurse-Utilization Review
LPN Utilization Management Reviewer
8/4 Clinician, Concurrent Review, RN
9/9 Clinical Reviewer RN or LPN
9/15 Health Plan Coordinator, RN any state
9/15 UR - RN only
10/3 Prior Auth Specialist
10/3 Utilization Management RN - Prior Authorization (Compact Licensed)
10/28 Prior Authorization Nurse Analyst (RN) - REMOTE
10/28 Utilization Management Clinical Processor, Dental - Remote
10/28 REMOTE PRN Clinical Authorization and Appeals Nurse, IL
10/28 KY Nurse Reviewer, Appeals and Hearings (Remote)
Teach online with
RN or LPN UM Nurse
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