Registered Nurse Utilization Review- Remote
Title: RN Utilization Review Location: Remote Shift: Day 5x8-Hour (08:00 - 16:30) Duration: 16 weeks Payrate: $46-50 per hour Requirements: Years of Experience:2 year(s)Note: acute care management experience Charting System: Required Epic CPT (Current Procedural Terminology) coding and billing HIPAA guidelines (Health Insurance Portability and Accountability Act)ICD 10 Coding*NCQA (National Committee for Quality Assurance)*OSHA: Occupational Safety and Health Administration*The Joint Commission/ Core Measure/National Safety GoalsWorker’s Compensation* 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) InterQual required, this is a Hardstop Experience with HMOs, IPAs, etc. • Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc. Proficient with Epic, recent use required within the last 6-12 months RN01 Contact: (315)-320-3830/[email protected] Job Types: Full-time, Contract Pay: $46.00 - $50.00 per hour Expected hours: 40 per week Work Location: Remote Apply tot his job