Utilization Review RN
The Judge Group Inc.

Location: REMOTE
Salary: $30.00 USD Hourly - $31.00 USD Hourly
Description: Our client is currently seeking a REMOTE Utilization Review RN

MUST have at least 3 years of UM or UR experience for a health plan!

• M-F full-time during core business hours with the ability to work any shift between 7am and 7pm CST
• Weekend rotation are: 3 nurses are 8a-5pm CST and 2 nurses are 8a-5pm EST
• Training: M-F 8am-5pm CST (2 weeks)

This job will have the following responsibilities:

• The RN will perform clinical and operational processes related to transition/coordination of care and utilization/case management of Post-Acute Care services including but not limited to long-term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review.
• The RN is responsible for the implementation, evaluation, and coordination of the plan of care for all assigned patients.
• Develops care plans and other case management tools by participating in meetings.
• Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers.
  

Qualifications & Requirements:

• Current Unrestricted Registered Nurse license
• Minimum 5 years of clinical experience with at least 3 years of Health Plan (Health Insurance Co) experience
• 2 - 4 years of experience in utilization management required.
• Home health, SNF, and/or rehab experience desired
• Medicare/Medicaid managed care programs preferred
• Knowledge in Microsoft Excel
• Computer literate
• Experience using videoconferencing systems
• Must have Reliable Internet Access/ HIPPA complaint Room
  

Contact: nmendesfeitosa@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.