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M4468s6fy7k5b81jhb0

Utilization/ Care Management Registered Nurse (RN)

The Judge Group Portland Full-Time
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Excellent Utilization and Care Management Clinician position available for you! This position will be a temp to hire role for 3+ months with huge possibility to be extended or even move to a permanent placement! I have provided the job description below. 

LOCATIONS: Choice of Portland, OR; Salt Lake City, UT; Lewiston, ID; Burlington, WA.  

Telecommuting is also possible provided the candidate has a current RN license and is physically located in Oregon, Idaho, Utah or Washington.

JOB DESCRIPTION: 
  • Responsible for both prospective (Sometimes called “precertification review” or “prior authorization”) and concurrent review (Utilization management conducted during a patient's hospital stay or course of treatment, sometimes called “continued stay review”) prior to and during a patient’s admission and treatment in a variety of healthcare settings.
  • Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.  
  • Utilizes evidence-based criteria that incorporates current and validated clinical research findings. 
  • Consults with physician advisors to ensure clinically appropriate determinations.
  • Facilitates transitions of care through collaboration with the member, the facilities interdisciplinary team and Case Management programs to achieve optimal recovery for the member.
  • Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.  

QUALIFICATIONS:
  • Active Registered Nurse License 
  • 3 years of case management, utilization management or disease management experience
  • Strong communication and computer skills (including use of Microsoft Office, Outlook, internet search).  
  • Familiarity with health care documentation systems.
  • Patient focused approach to problem solving, such as looking for opportunities to help each member achieve optimal health outcomes.
  • Strong organization and time management skills with the ability to manage workload independently.

Qualified and interested candidates are encouraged to apply! 

FEEL FREE TO FORWARD THIS OPPORTUNITY TO YOUR FRIENDS/COLLEAGUES!!!
 

Recommended skills

Utilization Management
Time Management
Hospitals
Coordinating
Computer Literacy
Complex Problem Solving

Location

CareerBuilder Estimated Salary

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$79K
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Utilization/ Care Management Registered Nurse (RN)
Estimated Salary: $87K
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Job ID: 632241

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