๐ Remote, USA
๐ฏ Full-time
๐ Posted Recently
Job Description
Title: RN Utilization Review Location: Remote Shift: Day 5x8-Hour (08:00 - 16:30) Duration: 16 weeks Payrate: $46-50 per hour Requirements: Years of Experience:2 year(s)Note: acute care management experience Charting System: Required Epic CPT (Current Procedural Terminology) coding and billing HIPAA guidelines (Health Insurance Portability and Accountability Act)ICD 10 Coding*NCQA (National Committee for Quality Assurance)*OSHA: Occupational Safety and Health Administration*The Joint Commission/ Core Measure/National Safety GoalsWorkerโs Compensation* 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) InterQual required, this is a Hardstop Experience with HMOs, IPAs, etc. โข Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc. Proficient with Epic, recent use required within the last 6-12 months RN01 Contact: (315)-320-3830/[email protected] Job Types: Full-time, Contract Pay: $46.00 - $50.00 per hour Expected hours: 40 per week Work Location: Remote Apply tot his job