Registered Nurse - Utilization Review Per Diem
9 days ago
United StatesPer Diem / PRNUtilization ReviewNot on LinkedIn
Job Description
About the Role
Join HonorHealth as a Registered Nurse - Utilization Review Per Diem in United States. Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients.
Key Responsibilities
- Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care.
- Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services.
- Responsible for coordinating and conducting medical necessity reviews for all Medicare, AHCCCS, Self-pay, and all other payers, upon admission and concurrently throughout the admission.
Requirements
- Preferred Associate's Degree in Nursing from an accredited NLN/CCNE institution
- Required Experience 1 year experience in UR/UM or Case Management
- Required 3 years Registered Nurse in an acute care setting.
- Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure
Benefits & Compensation
- time and part
- Preferred Associate's Degree in Nursing from an accredited NLN/CCNE institution
- Required Experience 1 year experience in UR/UM or Case Management
- Required 3 years Registered Nurse in an acute care setting.
Work Schedule
- per-diem schedule.
- No explicit call, weekend, or night shift information provided.
Apply to join HonorHealth as a Registered Nurse - Utilization Review Per Diem.
Key Skills
Utilization ReviewMedical Necessity ReviewClinical Documentation ReviewPayer CoordinationAppealsCare Management InterfaceQuality Outcome MeasurementRegulatory ComplianceDRG ClassificationChart Review
Healthcarevia Icims
2.0
Burnout Score
Below Average
Job Details
Employment Type
Per Diem
Posted
9d ago
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