State Licensed Med Surg Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 17, 2025

Job Description:

A company is looking for a Med Surg Nurse / Psych Nurse.
Key Responsibilities

Analyze written appeals and draft detailed response letters addressing complex issues
Prepare appeal cases for physician review and communicate final decisions to members and providers
Utilize clinical judgment to assess adverse decisions and ensure compliance with regulations

Required Qualifications

High School Diploma or equivalent
2 years of clinical experience in a medical-surgical or similar setting or 3 years in mental health or psychiatric care
Active RN license (state or compact)
BSN or MSN degree preferred
Experience in Medical Review, Utilization Management, or Case Management preferred

Keywords: VirtualVocations, Newport Beach , State Licensed Med Surg Nurse, Healthcare , Vista, California

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