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Utilization Review Nurse

Company: The Judge Group
Location: Memphis
Posted on: November 22, 2021

Job Description:

Location: Memphis, TN Salary: Dependent on Experience Description: Judge Healthcare is seeking an onsite Utilization Review Nurse in Memphis TN ASAP. Job Type: Contract 3+ Months (Strong chance of contract to perm) Location: Memphis, TN 38128 ONSITE Hours: 8am-5pm Monday-Friday RN or LPN Utilization Review Specialist, through the use of documented medical criteria and nursing knowledge and under the supervision of the Manager is responsible for coordinating and monitoring inpatient services for all aspects of patient care that pertains to hospital admission. The Utilization Review Specialist monitors healthcare services that are medically necessary, appropriate, effective and cost efficient according to hospital standards. The Utilization Review Specialist also works with the physicians to help assure appropriate documentation.-- REQUIRED:----

  • Current licensure as RN or LPN in state of Tennessee.
  • Graduate of a vocational nursing program.
  • Five (5) years clinical experience as LPN.------------------ PREFERRED Qualifications:
    • Acute care experience preferred
    • Prior experience in utilization management, care coordination, care facilitation and discharge planning preferred. Some key functions to see on your resume would be:
      • Milliman (MCG)
      • InterQual
      • Insurance (Medicare, Commercial, Tricare, VA)
      • Denials
      • Continued stay review (CSR)
      • Late denial
      • Appeals
      • Peer to peer
      • MorCare
      • Packet Assembly Please send your updated resume to Dominique DeMarco --- DDeMarco2@judge.com for immediate consideration!
        Contact: ddemarco2@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Keywords: The Judge Group, Memphis , Utilization Review Nurse, Healthcare , Memphis, Tennessee

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