Utilization Management RN
The Judge Group Inc.

Philadelphia, Pennsylvania

Posted in IT


Job Info


Location: REMOTE
Description: Judge Healthcare is currently seeking a Remote Utilization Management RN!

Type: Contract to Hire

Schedule: Monday to Friday 8AM to 5PM CST. Training will be 2 weeks with the same schedule
Rate: Dependent on Experience

Responsibilities:

  • 3 reviews per hour
  • Maintain Compliance standards with UM & reviews
  • Maintain compliance with contractual obligations in meeting 24-our Turn-Around-Time (TAT)
  • 100% re-review of all cases converted to OBS per Medical Director Review, creating new authorization and performing medical necessity review if stay exceeds 2 midnights.
  • Timely escalation to market teams for discharge planning.
Qualifications & Requirements:
  • TruCare
  • MCG
  • Microsoft Office Suite

Contact: vsantis@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com



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