Registered Nurse - Clinical Utilization Reviewer - SUNYWNYRN job at NavitsPartners. Lock Haven, PA. Registered Nurse – Clinical Utilization Reviewer Qualifications: • Current RN license in the state of practice. • At least 2 years of experience in utilization review or case management. • Knowledge of insurance reimbursement policies and pre-authorization processes. • Strong problem-solving and communication skills. • Experience with medical record review and healthcare data analysis. Duties: • Review patient cases to assess medical necessity and appropriate treatment plans. • Verify insurance coverage and assist in authorization processes. • Work with providers to ensure proper documentation and regulatory compliance. • Identify opportunities for improving resource utilization. • Serve as a liaison between clinical staff and insurance companies. • Assist in developing utilization review policies and procedures. Pay: • Medium weekly pay range: $2,050 - $2,550
See More Details >>Entering the machining trade in Lock Haven, PA, typically begins with specialized education and training, often through apprenticeship programs that combine hands-on experience with classroom instruction. These apprenticeships last about four to five years and require extensive training under experienced professionals. According to the National Institute for Metalworking Skills, the average wage for machinists in Pennsylvania is approximately $1,200 per week, with experienced professionals earning even more. With the growing demand for skilled machinists and the potential for career advancement, those who complete apprenticeships and continue their education can look forward to a lucrative career with strong earning potential.
