Utilization Review Nurse Interview Questions
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Utilization Review Nurse interview questions shared by candidates
Tell us about yourself. Describe your work experience. What can you bring to the table for our company.
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I am a RN with years of experience with both direct patient care then transitioning into Case Management which has been my focus for over 8 years. I have worked in the role as a Community Based Health Manager with my most recent experience since 2018 - present in Utilization Review, completing reviews using MCG criteria amongst multiple other responsibilities while interacting with team Members and Physicians. Less
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I bring to this role a strong work ethic as well as the ability to work efficiently and independently. Less
Have you ever had many different tasks given to you at the same time? How did you manage these
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Need to say what happened, how you solved the problem and what was the outcome.
Lets role play an actual phone call to a provider....
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Good afternoon ! My name is LauraLynn and I am a nurse calling from McBee Associates on behalf of a patient whom you have had under your care recently. I would like just a few moments of your time to discuss initial eligibility and coverage determinations for “ Mr B “, screening for medical necessity appropriateness, determining additional information required, and referral to correct departments. Is now a good time for you to discuss this in its entire ready or is there a better time either later today or tomorrow for us to discuss this at length? Less
How have you handled a time you did not agree with your supervisor?
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I requested a private meeting to further my understanding of the issue.
Name a time when..., what is your biggest professional accomplishment up to this point?
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When I finished medical assistance program
If your house was on fire, what would be the top 3 things you would grab from the burning home?
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Loaded question. They'll use it to judge you by *their* standards, which may differ from your own. For instance, if you say "pets, husband, purse" they will think that you value superficial stuff over human (not realizing that husbands can get their own self out but pets need help, and if you have your purse/wallet, you can at least call your insurance company and get a room for the night). I bet some interviewers would like to see "my Bible" in that list. Less