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Telephone Utilization Review Nurse

A-Line Staffing Solutions Little Rock Full-Time
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TELEPHONE UTILIZATION REVIEW NURSE

The Registered Nurse will assess inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. The Registered Nurse will complete medical necessity and level of care reviews for requested services using clinical judgment and refer to medical directors for review depending on case findings. Educate providers on utilization and medical management processes. The Registered Nurse will ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

REGISTERED NURSE QUALIFICATIONS:

  • Active RN / Registered Nurse License in Arkansas
  • Associate Degree Required
  • 3+ years of acute care/clinical experience (ICU, ER, Med/Surg)
  • NICE TO HAVE: Managed Care, Utilization Review OR Prior Authorization experience       

WHAT’S GREAT ABOUT THIS POSITION FOR A REGISTERED NURSE?

  • Full-time opportunity with a major Fortune 100 Managed Care Organization
  • Telephonic office-based position; NO REMOTE OPTIONS AVAILABLE
  • Opportunity to step away from the bedside/direct patient care
  • Competitive benefits!

 SALARY: Call to Inquire

PLEASE CONTACT: Alliston Brown / Phone number blocked - click to apply or Phone number blocked - click to apply, EXT 229

registered nurse, RN, insurance, managed care, acute care, clinical, hospital, emergency room, ICU, intensive care, medical surgical, telemetry, telephone, telephonic, utilization review, utilization management, concurrent review, prior authorization

Recommended skills

Utilization Management
Clinical Works
Prior Authorization
Registered Nurse Certified
Intensive Care Unit
Managed Care

Location

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A-Line Staffing began in 2004 with just two of us – a father and son with 30 combined years of experience started the company out of a basement in Warren, Michigan. We started our company with just one placement, and continue to build the company and our relationships – one placement at a time.

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