Utilization Review/Outpatient Care RN
Job Title: Utilization Review/Outpatient Care RN
Are you an experienced Registered Nurse with Utilization Review experience looking for a new opportunity 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!
Position Summary:
As the Utilization Review/Outpatient Care RN, you would be responsible for reviewing and collecting medical information in order to determine medical necessity of services requested.
Hours for this Position: Monday-Friday daytime hours (40 hours/week)
Advantages of this Opportunity:
- Pay $28-$32 per hour, negotiable based on experience
- Work for a prominent Healthcare company who pride themselves on partnership, integrity, teamwork, and accountability
- Be a part of a team who serves the full spectrum of member needs
- Weekly deposit options
- Great benefits offered
More Insight of Daily Responsibilities:
- Ensures that services provided to eligible members are within benefit plan
- Initiates and continues direct communication with health care providers involved with the care of the member
- Identifies appropriate clinical settings for services being requested
- Identifies and refers cases appropriate for case management
- Identifies potential quality of care issues and refers to Quality Department
- Determines appropriate utilization management of services requested
What We Look For:
- Clear and active RN license in state of FL
- 2+ years of acute clinical/surgical position
- Recent experience with utilization management
Interested in being considered in this position?
TAKE THE NEXT STEP! Click the green I'M INTERESTED button to send me your resume.