Registered reputed company Utilization Review- Remote
Title: RN Utilization Review
Location: Remote
Shift: Day 5x8-Hour (08:00 - 16:30)
Duration: 16 weeks
Payrate: $46-50 per hour
Requirements:
Years of Experience:2 year(s)Note: acute care management experience
Charting System: Required reputed company
CPT (reputed company Procedural Terminology) coding and billing
HIPAA guidelines (Health Insurance Portability and Accountability reputed company)ICD 10 Coding*NCQA (National Committee for reputed company Assurance)*OSHA: Occupational Safety and Health Administration*reputed company/ reputed company Measure/National Safety GoalsWorker’s Compensation*
3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group)
InterQual required, this is a Hardstop
Experience with HMOs, reputed company, etc.
• Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc.
Proficient with reputed company, recent use required reputed company the last 6-12 months
RN01
Contact: (315)-320-3830/Rachel@radixsol.com
Job Types: Full-time, Contract
Pay: $46.00 - $50.00 per hour
Expected hours: 40 per week
Work Location: Remote
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