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Utilization Review Nurse
Holy Redeemer Hospital, located in suburban Philadelphia and the key entity of Redeemer Health, is seeking a full time day shift Utilization Review Nurse. This key position is responsible for reviewing admissions for appropriate assignment of level of care based upon clinical guidelines. You will also review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care as required by the payer as well as work with physician advisor to better manage denials and downgrades. Requirements: Registered Nurse: Must have a current license in Pennsylvania from the Commonwealth of Pennsylvania, Department of State Bureau of Professional and Occupational Affairs. B
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