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Utilization Review RN

Abilene, TX 79601

Posted: 05/08/2019 Employment Type: Full Time Industry: Dialysis Job Number: TX-39 Specialty: Licensing:
  • Opportunity for a Utilization RN at a hospital in Abilene, TX
  • The Utilization Review (UR) Nurse provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization; provides ongoing communication with health plan utilization departments; provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and timely follow-through with the plan of care; communicates with the Lead UR RN when potential medical necessity denials are determined by the payer
  • Works under the Case Manager; No hands-on nursing unless needed
  • Monday through Friday schedule
  • Competitive compensation based on experience
  • Excellent benefits
  • Relocation and sign-on bonus offered!
  • TX RN license or ability to obtain TX RN license
  • Minimum of 3 years clinical experience in an acute care hospital OR

  • One year recent Utilization Review experience in an acute care/hospital setting OR

  • One year recent experience as a Case Manager in an acute care/hospital setting

  • Must be nicotine free 6 months prior to drug screen

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