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Utilization Review Registered Nurse_Days

Job in Norfolk, Virginia, 23500, USA
Listing for: Sentara Healthcare Inc
Full Time position
Listed on 2026-01-28
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below

Integrated Care Manager RN
-Days

As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review. Reviews for appropriateness of treatment setting to ensure compliance with applicable criteria, and regulatory requirements. Responsible for written and/or verbal communication of pertinent clinical information.

Virginia Remote, must be available to come into Virginia Beach office as required

Required:
  • Minimum of 3 years acute care experience
  • Registered Nurse
  • Required – Verbal and Written Communication, Critical Thinking, Proficiency with basic computer skills
Certification :
  • VA RN License (VABON) or North Carolina RN License (NCBON)
Education:
  • RN diploma, RN Associate Degree, RN Bachelor Level Degree or RN Master Level

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