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Travel Nurse RN - Case Manager - $2,346 per week in Kinston, NC

TravelNurseSource

Kinston, NC

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JOB DETAILS
SALARY
$2,346–$2,346
SKILLS
Acute Care, Basic Life Support (BLS), Case Management, Certified Case Manager (CCM), Clinical Information, Clinical Support, Communication Skills, Denials Management, Epic Systems, Healthcare Reimbursement, Nursing, Quality of Care, Registered Nurse (RN), Support Documentation, Third-Party Payer, Time Management, Utilization Management
LOCATION
Kinston, NC
POSTED
Today
TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Kinston, North Carolina, 28501!

Job Title: Utilization Review Nurse Profession: Registered Nurse Specialty: Utilization Review Duration: 13 weeks Shift: Day Hours per Shift: 8 Experience: Minimum of two (2) years of Utilization Review experience. License: RN license Certifications: BLS Required; ACM/CCM Preferred Must-Have: - Acute Hospital experience - EPIC experience - Travel experience - Denials Management experience preferred Description: This is not a remote position. It is an in-person role. The shift consists of Monday through Friday from 8:30 AM to 5:00 PM. No weekends and no call are required. The position facilitates utilization management processes to ensure the right care is provided at the right place and at the right time. The Utilization Review Nurse applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization, and readiness for care transition. Timely movement of patients throughout the continuum of care is assured by conducting concurrent reviews. Proactively resolving care, service, or transition of care delays or issues is necessary and is done in collaboration with the care team. This position provides third-party payers with clinical information to support reimbursement. Coordination of care is done with the treatment team, patients, families, and others. Effective communication with physicians is essential for appropriate documentation to support authorization of services. Experience in utilizing InterQual and MCG criteria for admissions and level of care is required. Experience with reviewing portals for authorization and denial determinations is preferred.

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TravelNurseSource