Travel Nurse RN - Utilization Review - $2,300 to $2,500 per week in Atlanta, GA

Overview

A Utilization Review (UR) RN job involves assessing patient medical records and treatment plans to ensure care is medically necessary, appropriate, efficient, and cost-effective, working with providers and insurers to approve services, manage length of stay, prevent unnecessary procedures, and facilitate smooth transitions, often involving prospective, concurrent, and retrospective reviews

Job Details:

• Position: Utilization Review RN 
• Contract: 13 weeks contract job with possible extensions
• Shift: 5X8 hours Day Shifts (08:30 AM to 05:00 PM)
• Shift Notes: Rotating Weekends 
• Weekly Hours: 40 hours per week
• Facility name:  Kaiser Foundation Health Plan of Georgia
• Facility location: 9 Piedmont Center, 3495 Piedmont Rd., NE, Atlanta, GA 30305

Responsibilities

• Conduct utilization review of patient cases to ensure quality of care and appropriateness of services provided
• Collaborate with physicians and healthcare professionals to develop and implement patient care plans
• Evaluate healthcare resource utilization and identify opportunities for improvement
• Review medical records, lab results, and other clinical information to ensure compliance with established standards and guidelines
• Provide complex clinical information to insurance carriers and healthcare providers to support reimbursement decisions
• Document patient care plans and utilization review activities in a timely and accurate manner
• Participate in ongoing quality improvement initiatives
• Educate patients and families about healthcare services and resources
• Other duties as assigned