On-Site Utilization Review Nurse – Las Vegas (Relocation)

Global Force USA; Las Vegas (NV); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Relocation bonus

Excellent benefits

Job summary

Global Force USA is seeking a Utilization Review Nurse for an on-site role in Las Vegas, NV. The position requires evaluation of admissions for appropriateness and efficient resource use, with a focus on payer requirements and documentation accuracy.

Qualified candidates will have a nursing degree, an RN license in Nevada, and at least five years of acute hospital nursing experience, with at least one year in utilization management, case management, or clinical documentation improvement.

Qualifications

• Reviews patient admissions for appropriateness and resource utilization.
• Ensures compliance with third party payer requirements.
• Analyzes medical charts to determine if care is within established parameters.

Responsibilities

• Review admissions for appropriateness and resource utilization.
• Ensure compliance with third party payer requirements.
• Analyze medical charts to determine if care is within established parameters.

Skills

InterQual experience

Milliman experience

Utilization Management experience

Discharge planning experience

Education

Graduation from accredited nursing program

Job description

Global Force USA is seeking a Utilization Review Nurse for an on-site role in Las Vegas, NV. The position requires evaluation of admissions for appropriateness and efficient resource use, with a focus on payer requirements and documentation accuracy.

Qualified candidates will have a nursing degree, an RN license in Nevada, and at least five years of acute hospital nursing experience, with at least one year in utilization management, case management, or clinical documentation improvement.