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Entry Level Rn Utilization Review Nurse Jobs in Indiana

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This position is reserved for a licensed Registered Nurse who will perform the Utilization ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...

RN Case Manager

Evansville, IN · On-site

$83K - $93K/yr

RN Case Manager 📍 Location: Evansville, IN 💼 Schedule: Full-Time | Monday-Friday ⏰ Hours ... Conduct utilization review (UR) and ensure appropriate level of care * Collaborate with physicians ...

RN Care Manager

Evansville, IN · On-site

$85K - $95K/yr

Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS, prevent readmissions, improve outcomes ✅ What You Bring: * Active RN license (Indiana or compact)

Ref. 63049032 RN - Case Management $2,797.60 per week * Location: Fort Wayne, IN * Type: Travel ... Utilization Review: Collaborate with the Care Team * Complete comprehensive patient assessments to ...

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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Entry Level Rn Utilization Review Nurse information

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Utilization Review RN

Utilization Review RN

Healthcare Support Staffing

Indianapolis, IN • On-site

Full-time

Medical

Re-posted 10 days ago


Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description
  • Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs, or community resources.
  • Applies clinical knowledge to work with facilities and providers for care coordination.
  • Works with medical directors in interpreting appropriateness of care and accurate claims payment.
  • May also manage appeals for services denied.
  • Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Qualifications
  • Must have clear and active RN license in the state of IN
  • AS/BS in Nursing or combination of education / experience
  • 2 years of experience in an acute care clinical environment
  • Strong computer skills/ability to navigate multiple systems (MS Outlook/Word/Excel)
Additional Information

Advantages of this Opportunity:

  • Competitive salary
  • Fun and positive work environment
  • Medical benefits offered

Interested in being considered? 

Apply now for immediate consideration! You may contact Christine Morta at (407) 233-0769.


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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