Utilization Review - Managed Care Nurse

  • 399584
  • Registered Nurse
  • October 02, 2018
  • 824 Military Highway
  • Norfolk, VA 23502
  • 8 D
  • 13 Weeks
  • November 03, 2018
  • Onward
  • Temporary
  • Call for details

Job Description & Requirements

Utilization Review - Managed Care Nurse

Looking for RN's who demonstrate critical thinking skills, who follow outlined processes and preferably have previous UM experience. This Role is strictly Utilization Management in nature. RN's review authorizations (that cannot be completed at the LPN PA Coordinator level) and clinical information and compare this to Optima policy or Milliman Care Guideline criteria, collaborate with Optima Medical Director to make decision determinations, key in data and utilize multiple computer programs.

Required Qualifications

UM Experience Pre-Certification Exp/Benefits eligibility

Preferred Qualifications

Interqual

Facility Location

Known as “America’s first region,” the areas of Virginia Beach and Norfolk are not only teeming with history, but also offer some beautifully relaxing beaches. Combine the region’s natural beauty and culture with a prominent medical presence, and you have a coveted location, filled with a kaleidoscope of opportunities. From wildlife refuge parks to a thriving nightlife and dining scene, the Virginia Beach/Norfolk area is primed for fun.

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.