Utilization Management RN at The Judge Group Inc. in Philadelphia, Pennsylvania

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 Apply Now