Utilization Review Registered Nurse_Days
Job in
Norfolk, Virginia, 23500, USA
Listed on 2026-02-03
Listing for:
Sentara Healthcare Inc
Full Time
position Listed on 2026-02-03
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
- VA RN License (VABON) or North Carolina RN License (NCBON)
- RN diploma, RN Associate Degree, RN Bachelor Level Degree or RN Master Level
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