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Registered Nurse
Ref No.: 18-04124
Location: Baltimore, Maryland
Position Type:Contract
Registered Nurse Utilization Review
Baltimore MD

MUST: Registered Nurse Utilization Review
Experienced Registered Nurse
Valid Registered Nurse Lic in MD.
Utilization Review
Knowledge and use of MCG and InterQual criteria is required.
Candidates must have a Bachelor's Degree

DUTIES: Registered Nurse Utilization Review
Knowledge and use of MCG and InterQual criteria, medical surgical nursing experience ability to work in a software program, review and understand clinical information
Perform concurrent and retrospective utilization reviews, ability to summarize a clinical review, concurrent referral to PA for potential denied days, attend interdisciplinary rounds and request additional documentation of days and the plan of care
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.