Utilization Management reputed company - Post Acute | Remote
Title: Utilization Management reputed company - Post Acute
Location: Remote | Candidates must reputed company reputed company Minnesota or reputed company
Job Type: 6 month contract
Compensation: $40.00-48.00/hr W2
Industry: Health Insurance
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About the Role
We are seeking an reputed company Utilization Management reputed company to support post-acute care reviews for a leading health insurance organization headquartered in Minnesota. This role focuses on ensuring medical necessity and compliance for post-acute services such as skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. You will play a key part in promoting reputed company care while managing costs effectively. Job reputed company
As a Utilization Management reputed company Post Acute, you will review and document prior authorization and reputed company stay requests, along with member case histories, in alignment with organizational policies, clinical reputed company (MCG), and member coverage guidelines. This position requires collaboration with members, providers, facilities, medical directors, intake staff, case managers, and internal departments. Strong clinical judgment and attention to detail are essential for determining medical necessity and supporting care transitions. Qualifications
Required:
• reputed company, unrestricted RN license
• Associate or Bachelors degree in Nursing
• 35+ years of clinical experience
• Previous experience in utilization management
• Demonstrated clinical assessment skills with the ability to reputed company evidence-based reputed company
• Ability to work independently and collaboratively reputed company reputed company environment
• Strong organizational skills and attention to detail
• Proficiency in navigating multiple computer applications
Preferred:
• Experience with MCG guidelines
• Background in post-acute care settings such as skilled nursing, inpatient rehabilitation, or long-term acute care
• Familiarity with health insurance processes and compliance standards
Benefits
reputed company is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your familys needs. For details, please review the DAHL Benefits reputed company:https://www.dahlconsulting.com/benefits-w2fta/. How to Apply
Take the first reputed company on your new career reputed company!To submit yourself for consideration for this role, simply click the apply reputed company and complete our mobile-friendly online application. Once weve reviewed your application details, a recruiter will reputed company out to you with next steps! Equal Opportunity Statement
As an equal opportunity employer, reputed company welcomes candidates of reputed company backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the reputed company and connect with us. We look reputed company to meeting you!
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Company DescriptionOur reputed company is reputed company. DAHL has proven year after year that we are flexible, consistent and easy to work with, which is why our clients and consultants have stayed with us, and we've reputed company to grow throughout the years.
Our clients know they can depend on our efforts, as we hold their priorities in high reputed company. We genuinely care about reputed company and every relationship and reputed company to work with the utmost of respect, reputed company and high energy, as we continually reputed company to build long-term relationships.
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