Travel Nurse RN - Utilization Review - $50 to $52 per hour in Atlanta, GA

Facility: Kaiser Permanente – Regional Office, Atlanta, GA
Location: 9 Piedmont Center, 3495 Piedmont Rd NE, Atlanta, GA 30305
Shift: 8:00 AM – 5:00 PM

• Perform medical necessity reviews for outpatient services using MCG guidelines, KP criteria, and LCD criteria.

• Refer cases to the Medical Director for potential denials when criteria are not met.

• Float to other departments if needed.

• Active Georgia RN License

• BLS certification

• 1 year recent experience (within the last 3 years)

• Graduate of an accredited nursing program

• BSN preferred

• Previous insurance or utilization review experience preferred

• Business Unit: Sr Operations Director, Continuum of Care

• Time Sheet Type: Standard (Weekly)

• Labor Type: Healthcare

• Winter Plan Need: No

• Travel: 0% (Local role)