Job Summary
Description:
We are actively seeking full-time highly motivated Registered Nurses (RNs) with strong Utilization Review (UR) experience. The Utilization Review Registered Nurses (RNs) will perform comprehensive reviews to determine medical necessity including quality issues and appropriateness of utilization of services. The Utilization Review RNs will reside in the Pacific Time Zone (PST) and telecommute from home Monday through Friday during normal business hours.
This is a full time position that is temporary for a period of two to four months with the intent to direct hire.
Job Duties include:
Facilitates the clinical progression of care and collaborates with health plan member, family and health plan and community providers.
Manages and prioritizes care coordination activities applies knowledge of complex care planning
Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services
Identifies process improvement opportunities
Qualification:
Graduate of an accredited program of nursing
Active unrestricted RN license in state of residence
Minimum of five years case management or acute care coordination experience
Experience in a Managed Care setting strongly preferred
Strong computer skills; proficient in Windows, Excel and prior use of a laptop
US Citizenship required
Must be able to pass security clearance
The Benefits of Working with PSN*
RN Nurse Recruiters:
- we provide a Nurse to Nurse connection!
27 years of experience in this field!
Direct relationship with hiring managers!
Online timesheet entry
Direct Deposit
Weekly paycheck
Health, Vision & Dental insurance*
Life/AD&D, Basic & Supplemental*
Short-term disability insurance*
Employee Assistance Program (EAP)
*Upon meeting Company & plan eligibility requirements
If temporary position results in direct hire by client, the following are the client's benefits:
Client Company Benefits*
Health, Vision & Dental insurance
Flexible spending accounts
Short- and long-term disability insurance
Basic Life insurance
Supplemental Life/AD&D
401(k) retirement plan
Paid-Time-Off to include: Vacation, Personal and Sick time & Company Holidays
Employee Assistance Program (EAP)
Tuition Reimbursement/Educational Assistance
*Upon meeting company & plan eligibility requirements
Licensure:
Active unrestricted RN license in state of residence
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