Utilization Review Nurse RN

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Reference Code: 5525

Utilization Review Nurse RN

Location: Bothell, WA 98021
Job Type: Contract 
Duration: 3 months, possibility of extension
Pay Rate: $32.00/hour

Our client, a Fortune 500 multi-state healthcare organization, is looking to hire a Utilization Review Nurse RN who will be responsible for working with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. This role will provide daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. 

Description:

  • Schedule after Training/Orientation: Sun – Thurs from 10am – 6:30PM PST

Job Qualifications:

  • The Utilization Review Nurse must be licensed RN with compact nursing license, WA license preferred
  • MUST HAVE IN-PATIENT SKILLED NURSING FACILITY EXPERIENCE
  • Must have strong experience in In-Patient skilled nursing facility operations and strong experience with all levels of care coordination – LTAC, acute inpatient, etc.
  • Must have health plan Medicare UM experience and skilled in using MCG criteria.
  • Experience with QNXT preferred.
  • Must touch type/keyboard and must be able to navigate multiple computer systems and Microsoft products (Outlook, Word, Excel, etc.)

For more information, please call our Recruiter directly at (847)610-9013. To submit your application, click on the 'Apply for Job' link below or send your resume directly to Joseph.Abeto@bluestonestaffing.com.
 

blueStone Staffing recruits top talent for some of the most desired companies on a contract, contract-to-hire and direct hire basis. We take pride in presenting our candidates with great opportunities they may not have exposure to elsewhere. By working with blueStone, you'll have access to rewarding job opportunities, competitive compensation, and industry leading benefits packages. We look forward to helping you land your next career opportunity and achieving your goals!

 

 

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