Utilization Review-Case Management Registered Nurse (Full-Time)

Job description

Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. *Pay Range: $50/hr. to $60/hr. Work Schedule: Monday to Friday from 8:00 a.m. to 4:30 p.m. Responsibilities: Skills: - Admissions: Conduct admission reviews - Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews - Payment Appeals: Prepare and submit appeals to third party payers - Recordkeeping: Maintains appropriate records of the Utilization Review Department - Training: Provide staff in-service training and education - Maintains confidentiality of patients at all times - Ability to cope well with stress and have a strong sense of compassion - Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds - Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint) - Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines - Strong writt...