Utilization Review - Managed Care Nurse

  • 578181
  • Registered Nurse
  • April 29, 2021
  • 200 W Center Street Promenade 2Nd Floor
  • Anaheim, CA 92805
  • 8 D
  • 13 Weeks
  • May 30, 2021
  • Onward
  • Temporary
  • $2,136 - $2,354*
  • *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses and housing expenses incurred on behalf of the Company. Please speak with your Recruiter for additional details.

Required Qualifications

REQUIRED: Needs UM experience Ambulatory experience We need to know what type of Ambulatory UM experience CLN has to get file sent. For example: Managed care, HMO, Different Health Plan Reviews, and Different review or crieteria/guidelines. Needs UM experience ** Remote Candidates will need to reside in Southern CA and would be required to train in Anaheim for a week or two (TBD) Needs to have experience in Ambulatory/Outpatient UM Reviews (Pre Auths for Surgery, Labs, Specialist Consults, Physical Therapy, Home Heath, DME, Genetics).**** Ambulatory Care environment Two years’ clinical work experience Needs strong UM Experience MCG expertise Knowledge/use of CMS regulations Computer literate HMO experience

Facility Location

Best known as home of the “Happiest Place on Earth,” Anaheim is a vibrant city in the heart of Southern California’s Orange County. Located a short drive from Los Angeles, Anaheim boasts a tremendous variety of dining, shopping, and entertainment options, from Downtown Disney’s House of Blues to boutique restaurants that are more than 100 years old. Anaheim is also home to Major League Baseball’s Angels and the National Hockey League’s Ducks.

Job Benefits

Onward Healthcare's travel nursing assignments typically last 13 weeks, and include:

  • Competitive pay rates and comprehensive benefits
  • Medical plans with dental and vision
  • Complimentary, high-quality private housing
  • 401(k) and flex spending options
  • Life insurance
  • Accident and short-term disability coverage
  • Free continuing education (CE) courses
  • Travel allowances
  • Guaranteed pay program
  • Tuition discount program
  • Referral bonuses

About the Company

Onward Healthcare, an AMN Healthcare company, is a travel nursing company dedicated to moving our nurses careers "onward and upward." Our team of expert recruiters connect clinicians with exclusive travel nursing opportunities at the nation’s top hospitals and healthcare facilities. Onward's nursing assignments are part of a larger, comprehensive RN career development and consultation service. Onward/AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer.

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Travel nurse jobs, staffing and recruitment from Onward Healthcare. © 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.

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