utilization review nurse jobs salary

Hospitals usually employ a utilization review UR nurse who communicates with the insurance companys UR nurse to evaluate the criteria needed to approve surgeries or treatments. Nurses in this field must be team players and possess a familiarity with service utilization and case management in healthcare settings.


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Certified Professional in Healthcare Quality CPHQ Who This Specialty Is For.

. Utilization reviews serve to evaluate each patients care before during and after procedures to ensure they receive adequate care throughout their hospital stay. 71092 as of February 2022Payscale Degree Required.


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