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Utilization Management RN

Company: HealthCare Support
Location: Bend
Posted on: December 3, 2019

Job Description:

Are you an experienced Registered Nurse looking for a new opportunity in Utilization Management with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions – this is the position for you!Daily Responsibilities of the Utilization Management RN: Collect and assess member information pertinent to member's history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and servicesPerform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programsIdentify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditionsReview referral and preauthorization requests for appropriateness of care within established evidence-based criteria setRequirements for the Utilization Management Registered Nurse: 5+ years of RN experience from clinical settingActive RN License in the State of Oregon Knowledge of medical and behavioral health processes, diagnoses, care modalities, procedure codes including ICD and CPT Codes, health insurance and state-mandated benefitsHours for for the Utilization Management Nurse:Monday-Friday 8:00AM-5:00PMAdvantages of the Utilization Management RN: Competitive payQuarterly Bonus OpportunitiesWork life balanceBenefits offered, Medical, Dental, and Life InsuranceFun and positive work environment Interested in being Considered for the Utilization Management Nurse position? If you are interested in applying to this position, please click Apply Now for immediate consideration.emedina@healthcaresupport.com#LI-EM1Healthcare 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.

Keywords: HealthCare Support, Bend , Utilization Management RN, Executive , Bend, Oregon

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