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Basic description
A utilization review (UR) nurse reviews and makes decisions about the appropriateness and level of patient care being provided. The eventual goal of UR nurses is to provide cost-effective care and ensure proper utilization of resources.
Educational requirements
Registered nurse preparation is required; Bachelor of Science in Nursing is required in most positions; certification in health care quality and management is offered by the American Board of Quality Assurance and Utilization Review Physicians, Inc.
Core competencies/skills needed
â– Ability to work under stress and with autonomy
â– Excellent organization and leadership skills
â– Excellent interpersonal and communication skills
â– Experience in case management is highly desirable
Related Web site and professional organization
â– American Board of Quality Assurance and Utilization Review Physicians, Inc. (http://www.abqaurp.org/whoshould.asp)