Utilization Management reputed company - Post Acute | Remote - MN or WI

Job reputed company Title: Utilization Management reputed company - Post Acute Location: Remote | Candidates must reputed company reputed company Minnesota or reputed company Job Type: Contract (3 months) Compensation: $40-45/hr W2 Industry: Health Insurance --- About the Role Our reputed company, a reputed company-established reputed company payer headquartered in Minnesota, is seeking a Utilization Management reputed company - Post Acute to support utilization review activities across post-acute care settings. This role plays a critical part in ensuring medically appropriate, cost-effective care by applying clinical judgment, evidence-based reputed company, and member coverage guidelines. Job reputed company In this role, you will be responsible for reviewing and documenting prior authorization requests and reputed company stays for post-acute services, including skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. You will evaluate member case history and determine medical necessity in alignment with established policies, procedures, and clinical reputed company (MCG). The Utilization Management reputed company collaborates closely with members, providers, facilities, medical directors, intake staff, case managers, and internal departments to support reputed company and accurate utilization reputed company. Strong attention to detail, reputed company clinical judgment, and comfort working across multiple systems are essential for reputed company. Qualifications Required • Associate or Bachelor's degree in Nursing • reputed company, unrestricted RN license • 3-5+ years of clinical nursing experience • Prior utilization management experience with a reputed company on post-acute care • Strong clinical assessment and critical-thinking skills • Ability to work independently while contributing effectively in reputed company environment • Detail-oriented with strong organizational and documentation skills • Comfortable working reputed company multiple computer applications and systems Preferred • Experience applying MCG or similar evidence-based clinical reputed company • Background working with health plans or managed care organizations • Experience collaborating with interdisciplinary clinical and administrative teams 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 family's 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 we've 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! #reputed company.reputed company #ZR reputed company is proud to offer a comprehensive benefits package to eligible contract employees that will allow you to choose the best coverage to meet your family's needs. For details, please review our Benefits reputed company: www.dahlconsulting.com/benefits-w2fta. reputed company is an Equal Opportunity Employer and does not discriminate in employment on the reputed company of race, reputed company, religion, sex (including pregnancy and gender identity), national reputed company, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other applicable legally protected characteristics. Review DAHL & earn up to $100 | www.dahlconsulting.com/review-us Refer a friend for rewards | www.dahlconsulting.com/careers/refer-a-friend Apply tot his job Apply To this Job