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OR - RN - Utilization Review, remote - ending 4/30, Days - Corvallis
$83k-104k (estimate)
Contractor
2 Weeks Ago
Mobile Health Team Inc is Hiring a Remote OR - RN - Utilization Review, remote - ending 4/30, Days - Corvallis
Mobile Health Team Inc., a staffing agency has an opening for an RN - Utilization Review. We are looking for someone with a passion for people.
Location: Corvallis, OR 97330
Assignment Start Date: 1/30/2024
13 weeks | Days | 8-hour shift | 40-hrs guaranteed weekly The Estimated Weekly Total is based on working the listed number of hours per week and includes available stipend amounts. Please contact a recruiter for full details.Summary PurposeReviews assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. Facilitates professional communication to ensure the authorization process is completed in a patient-centered manner with adherence to quality and timeline standards. Applies knowledge of applicable Medicare (CMS), Medicaid (OHA), and other plan-specific rules and regulations to the authorization process. Review cases that have a low to moderate level of service intensity.
Experience/Education/QualificationExperience:
Shift: Days (0800-1700) occasional weekends, ending 4/30/24
Knowledge/Skills/Abilities
Mobile Health Team, Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally.Our mission is clear, to bridge the staffing gap in the healthcare industry by creating and maintaining long-term working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our client's needs.
Location: Corvallis, OR 97330
Assignment Start Date: 1/30/2024
13 weeks | Days | 8-hour shift | 40-hrs guaranteed weekly The Estimated Weekly Total is based on working the listed number of hours per week and includes available stipend amounts. Please contact a recruiter for full details.Summary PurposeReviews assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. Facilitates professional communication to ensure the authorization process is completed in a patient-centered manner with adherence to quality and timeline standards. Applies knowledge of applicable Medicare (CMS), Medicaid (OHA), and other plan-specific rules and regulations to the authorization process. Review cases that have a low to moderate level of service intensity.
Experience/Education/QualificationExperience:
- One (1) year clinical experience required.
- BSN preferred.
- A current unencumbered Oregon RN license is required upon submission.;
- AHA BLS/BCLS certifications are required
Shift: Days (0800-1700) occasional weekends, ending 4/30/24
Knowledge/Skills/Abilities
- Experience or training in the following required:
- Healthcare delivery systems and/or managed care patients.
- Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced).
- Experience in the following preferred:
- Utilization management.
- Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
Mobile Health Team, Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally.Our mission is clear, to bridge the staffing gap in the healthcare industry by creating and maintaining long-term working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our client's needs.
Job Summary
JOB TYPE
Contractor
SALARY
$83k-104k (estimate)
POST DATE
05/28/2024
EXPIRATION DATE
07/29/2024
WEBSITE
mobilehealthteam.com
HEADQUARTERS
Neenah, WI
SIZE
<25
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