What are the responsibilities and job description for the RN Utilization Review position at AMN Healthcare?
POSITION SUMMARY – RN Utilization Review
POSITION DUTIES – Evaluates patients' clinical records to determine the medical necessity and appropriateness of inpatient behavioral health services, coordinates with providers and payers for authorization and continued stay reviews, and helps ensure compliance with regulatory, quality, and reimbursement requirements.
MINIMUM REQUIRED QUALIFICATIONS –
- IN/compact RN license
- Bachelor’s degree
- BLS
- HWC
- 1 year recent utilization review experience in an acute hospital setting
- Previous utilization review experience in a psychiatric healthcare facility preferred
LENGTH OF ASSIGNMENT – 13 weeks
SHIFT / HOURS PER WEEK – 8am-4:30pm
SYSTEMS – OnBase, HCS
START DATE – ASAP