Utilization Review Nurse - Discharge Planning & InterQual
Global Force USA
14 days+
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Benefits offered by this job
Job summary
A leading healthcare organization in Las Vegas is seeking a Registered Nurse to review patient admissions for appropriateness and compliance. The ideal candidate will have at least five years of clinical nursing experience, including three years in Utilization Management. Responsibilities include analyzing medical charts and collaborating on discharge planning. A valid Nevada nurse license is required. The position offers a sign-on bonus up to $15,000 and may require weekend shifts.
Qualifications
- Valid license by the State of Nevada to practice as a Registered Nurse.
- Minimum of three years of Utilization Management experience required.
- Recent experience with InterQual and Milliman is necessary.
Responsibilities
- Review patient admissions for appropriateness and compliance.
- Analyze medical charts and determine care efficiency.
- Collaborate with healthcare teams for patient discharge planning.
Skills
Utilization Management experience
Discharge planning
InterQual
Milliman
Collaboration and communication
Education
Graduation from an accredited school of nursing
Five years of acute hospital clinical nursing experience
One year in Utilization Management, Case Management, or Clinical Documentation Improvement
Job description
A leading healthcare organization in Las Vegas is seeking a Registered Nurse to review patient admissions for appropriateness and compliance. The ideal candidate will have at least five years of clinical nursing experience, including three years in Utilization Management. Responsibilities include analyzing medical charts and collaborating on discharge planning. A valid Nevada nurse license is required. The position offers a sign-on bonus up to $15,000 and may require weekend shifts.
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