Utilization Management RN at The Judge Group Inc. in Boston, Massachusetts

Posted in Other 19 days ago.





Job Description:

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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