Walker HealthForce is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Dover, Delaware.
Job Description & Requirements
- Specialty: Utilization Review
- Discipline: RN
- Duration: 17 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Local Contract
Candidates can live anywhere within the state of Deleware Shift: M-F 8AM - 5PM EST
JOB REQUIREMENTS
• Associates Degree
• Must type 100 words per minute
• 3 - 5 years of experience with a background in either of the following:
o Utilization Management
o Prior Authorization - Medical Surgical (Inpatient or Outpatient)
o Complex Case Management w/ exposure to UM, Concurrent
o Retrospective Medical Policy Review
• Unrestricted Compact RN License
• Proficient in UM policies and clinical guidelines
• Proficient in Microsoft programs (Care Radius, Excel, OneNote, Outlook, Teams, Word, etc.)
PREFERRED JOB REQUIREMENTS
• Bachelor's Degree
• Utilization Review Certification
• Health Insurance Payer experience
• Familiarity interpreting Milliman Care Guidelines MCG guidelines
• CareRadius platform exposure
Walker HealthForce Job ID .
About Walker HealthForce
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
Benefits
- Medical benefits
- 401k retirement plan
- Weekly pay
- Dental benefits
- Vision benefits
