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Utilization Management Coordinator (RN)

Kelly Healthcare Resources Richardson Full-Time
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Kelly Services is seeking qualified candidates for a Utilization Management Coordinator! This is a direct hire opportunity working for a large healthcare corporation in Richardson, TX.   BASIC FUNCTION This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and non-clinical data, verifies eligibility, determines benefit levels in accordance to contract guidelines, prepares reports on quality of care, identifies and reports cases, and provides information regarding utilization management requirements and operational procedures to members, providers and facilities.    JOB REQUIREMENTS • Registered Nurse (RN) with valid, current, unrestricted license in the state of operations. • 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.  • Knowledge of medical terminology and procedures. • Verbal and written communication skills. • Willingness and ability to travel   PREFERRED JOB REQUIREMENTS •Utilization Management or Case Management experience, highly desired •In-patient experience, highly desired •Specialty - O/R, Cardio, etc. •MCG Certification.



Why Kelly®?




Why Kelly®?


At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.



About Kelly Services®


As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit URL blocked - click to apply and connect with us on URL blocked - click to apply, URL blocked - click to apply and URL blocked - click to apply.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. URL blocked - click to apply

 

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Job ID: US41ALSM_BH1574398

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Kelly Healthcare Resources, a specialty service of Kelly Services®, is focused exclusively on placing skilled healthcare professionals in contract, contract-to-hire, and full-time jobs in professions in both industry and patient care settings, including:

  • Certified Medical Billers/Coders
  • CNAs
  • Counselors
  • Healthcare Educators
  • LPNs/LVNs
  • Medical Assistants
  • Medical Technicians
  • Nurse Practitioners
  • Pharmacists and Pharmacy Techs
  • Phlebotomists
  • Physician Assistants
  • Respiratory Therapists
  • RNs
  • Specimen Processors
  • X-Ray Techs
It all began when William R. Kelly—founder of the temporary staffing industry—established Kelly Services® in 1946. The company's traditional expertise started with office services, call center, light industrial, and electronic assembly staffing. Through the years, we expanded our expertise and established a proven record of successfully matching job seekers to opportunities in disciplines such as science, engineering, law, education, healthcare, IT, and finance. As a Fortune 500® company, Kelly® has evolved into a global workforce solutions leader, making employment connections for nearly half a million people around the world every year.

Since our founding, we have embodied the true spirit of social responsibility. Our character and values resonate through our culture. Inherently—through our core business focus—we seek to improve the quality of life for our employees, their families, and their communities, as well as society at large. We embrace the role we play and the value we contribute to society—whether ensuring equal opportunity to employment, promoting safer workplace conditions, advocating for healthcare reform, or adhering to sustainable business practices.

Together with our employees and our customers, we will continue to work toward ensuring that our legacy will remain strong for generations to come. For more than 60 years, people have trusted Kelly Services to help them reach their career goals. We are your proven link to employment opportunities that will pave the way for a successful future. Whoever and wherever you are—and with the right skills and attitude—Kelly can help you find a job, expand your career, and build your future.

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