Utilization Review Nurse - RN Job at TapTalent.ai, Albuquerque, NM

aWR3RnNmK1RnNFpQWHNIblNKankyaVR0Q2c9PQ==
  • TapTalent.ai
  • Albuquerque, NM

Job Description

🌟 We're Hiring: Utilization Review Nurse - RN! 🌟

We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team. The ideal candidate will possess clinical expertise and a strong understanding of healthcare regulations to ensure optimal patient care while managing resource utilization effectively.

📍 Location: Albuquerque, NM - 100% remote -  but may need to be onsite for occasional meetings
💼 Role: Utilization Review Nurse - RN

Pay rate: $40/hr. on W2, no benefits

Description:

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.

JOB REQUIREMENTS:
  • Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
  • 3 years of clinical experience
  • Experience utilizing various software packages
  • Verbal and written communication skills
  • Analytical skills- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management.
  • Multi-state license fees will be provided by the client.
  • Incumbents with other clinical licenses are not required to obtain multi-state licenses.
PREFERRED JOB REQUIREMENTS:
  • Familiarity with UM/CM activities and standardized criteria set.
  • Knowledge of ancillary services including HHC, SNF, Hospice, etc.
  • Training is completed through Microsoft Teams precepting. Worker should be able to hit the ground running.

Ready to make an impact? 🚀 Apply now and let’s grow together!

Job Tags

Permanent employment,

Similar Jobs

Capitol GMC

Heavy -Duty Diesel Mechanic Job at Capitol GMC

 ...a reason Capitol GMC has been recognized by General Motors as a Mark of Excellence dealer two years in a row. As a Heavy-Duty Diesel Mechanic, you will create a world-class automotive retail experience by inspecting and performing necessary repair work to vehicles... 

ARAMARK

Food Service Worker - Degnan's Deli Job at ARAMARK

 ...production, sanitation, and kitchen safety practices.COMPENSATION: The hourly rate of pay for this position is $17.10- $17.10. This is Aramark?s good faith and reasonable estimate of the rate of compensation for this position as of the time of posting.For LA County... 

University of Delaware

Health Behavior & Nutritional Sciences, Faculty Position (Continuing Track) Job at University of Delaware

Department of Health Behavior and Nutrition Sciences Instructor or Assistant Professor, Continuing (Non-Tenure) Track Position The Department of Health Behavior and Nutrition Sciences (HBNS) in the College of Health Sciences (CHS) at the University of Delaware (UD)... 

Denali Raft Adventures

River Guide Job at Denali Raft Adventures

 ...utilities, laundry, living room with a smart TV, ping-pong, basketball hoop, and volleyball net. Denali is a prime destination for tourism from around the globe and the people you will meet and work with during your time here reflect that. Denali Raft Adventures thrives... 

The Boeing Company

Mid-Level Communications Specialist Job at The Boeing Company

 ...future with us.The Boeing Company is looking for a **Mid-Level Communications Specialist** to join its defense business in El Segundo, California....  ...in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts...