Utilization Review RN — Propel Patient Care & Compliance

Healthcare Support Staffing; Brentwood (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Weekly deposit options

Job summary

A prestigious healthcare company in Brentwood, TN is seeking an experienced Registered Nurse for the Utilization Review position. You will telephonically review medical information to determine the necessity of continued stay while ensuring compliance with CMS criteria. The role offers a competitive salary and a friendly working environment, along with excellent benefits. Interested candidates with an RN license in TN and at least 2 years of experience in Utilization Management are encouraged to apply.

Qualifications

• RN license in Tennessee is required.
• Must have at least 2 years of experience in Utilization Management.
• Experience in pre-authorization and concurrent review is necessary.

Responsibilities

• Review medical information to determine necessity of continued stay.
• Ensure services are within benefit plan and appropriate providers are utilized.
• Assess and coordinate simple discharge planning.

Skills

RN license in the state of TN

Experience in Utilization Management

Strong understanding of discharge planning

Education

Bachelor's Degree in related field

Job description

A prestigious healthcare company in Brentwood, TN is seeking an experienced Registered Nurse for the Utilization Review position. You will telephonically review medical information to determine the necessity of continued stay while ensuring compliance with CMS criteria. The role offers a competitive salary and a friendly working environment, along with excellent benefits. Interested candidates with an RN license in TN and at least 2 years of experience in Utilization Management are encouraged to apply.