What are the responsibilities and job description for the Utilization Review NUrse - RN position at 24HRPO?
🌟 We're Hiring: Utilization Review Nurse - RN! 🌟
We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team. The ideal candidate will possess clinical expertise and a strong understanding of healthcare regulations to ensure optimal patient care while managing resource utilization effectively.
📍 Location: Albuquerque, NM - 100% remote - but may need to be onsite for occasional meetings
💼 Role: Utilization Review Nurse - RN
Pay rate: $40/hr. on W2, no benefits
Description
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.
Job Requirements
We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team. The ideal candidate will possess clinical expertise and a strong understanding of healthcare regulations to ensure optimal patient care while managing resource utilization effectively.
📍 Location: Albuquerque, NM - 100% remote - but may need to be onsite for occasional meetings
💼 Role: Utilization Review Nurse - RN
Pay rate: $40/hr. on W2, no benefits
Description
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.
Job Requirements
- Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
- 3 years of clinical experience
- Experience utilizing various software packages
- Verbal and written communication skills
- Analytical skills- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management.
- Multi-state license fees will be provided by the client.
- Incumbents with other clinical licenses are not required to obtain multi-state licenses.
- Familiarity with UM/CM activities and standardized criteria set.
- Knowledge of ancillary services including HHC, SNF, Hospice, etc.
- Training is completed through Microsoft Teams precepting. Worker should be able to hit the ground running.
Salary : $40
