Job description
UTILZATION REVIEW NURSE - REMOTE
A Norwood partner in Washington state is seeking at least 1 Utilization Review Nurse to work remotely on an assignment initially scheduled for 13 weeks.
This position will likely move to long term, should the you and the client both be interested.
Maximum pay rate is $48.00 an hour, to work in your pajamas....
Summary:
Utilization Review RN (UR)
Reviews patient files or information and confirms that proper care is being administered.
Duties:
Utilization Review Nurses work is to determine patient’s medical necessity. They provide recommendation to the doctor about their evaluation with the patient.
- Evaluates the patient’s situation against the hospital policies, insurance company’s standards and the cost of involved treatments.
Concurrent Reviews mostly. Minimal, if any Retros.
- Norwood UR RN’s must be willing and able to complete 30 reviews a day.
- Norwood UR RN’s must have at least 2 years of experience performing UR for short term acute care hospitals (with at least 6 months recent) completing reviews by utilizing InterQual and/or MCG (Milliman Care) Guidelines.
Working Conditions:
Remote - Must have dedicated office space with lock on the door, for HIPAA compliance.
Education and Training:
- Clear and Active Washington State Licensure is required.
- If interested in applying for temp, please inquire with Norwood.4
- Must have RN Diploma or Associate’s in Nursing,
- Bachelor’s Degree in Nursing, preferred
- Master’s Degree in Nursing, preferred
- 2-3 years of experience working in Hospital Utilization Review required
- Accredited Case Manager (ACM) preferred
- Certified Case Manager (CCM) preferred
- Must be proficient in conducting research to identify and develop solutions to patients’ requirements and needs.
- Must be able to handle multiple responsibilities throughout each day.
In-depth knowledge of health care services and medical terminology is a requirement as well.
We can't wait to meet you!
Job Type: Full-time
Pay: Up to $48.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Travel reimbursement
- Vision insurance
Physical setting:
- Acute care
- Hospital
- Inpatient
Schedule:
- 8 hour shift
COVID-19 considerations:
We adhere to our Clients' requirements regarding COVID-19 precautions on a per client basis. We are sensitive to both our Clients' and our Consultants' choices and/or needs.
Work Location: Remote
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