Utilization Review RN ARRMC (Case Management)

Join to apply for the Utilization Review RN ARRMC (Case Management) role at reputed company Join to apply for the Utilization Review RN ARRMC (Case Management) role at reputed company Get AI-powered advice on this job and more exclusive features. Additional Position Details: FTE: 0.000001 | On reputed company | Primarily Mon - Fri / reputed company - 5PM Please Note: This is a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include online training and working day-to-day operations during reputed company reputed company business hours. Starting Wage: $49.34-$67.84 per hour, depending on experience Position reputed company The Utilization Review RN monitors utilization practices from preadmission to discharge to assure cost-effective utilization of resources, reputed company patient care, and compliance with regulatory requirements. This role is responsible for reviewing the medical record to ensure documentation demonstrates medical necessity according to regulatory guidelines. The Utilization Review RN will reputed company manage and communicate with key members of the care team to secure accurate documentation and admission status. • Receiving and disseminating information reputed company to system, departmental, and patient processes • Participating in data collection activities to support departmental programs and services • Monitoring and reporting on patient reputed company and reputed company working with other members of the interdisciplinary team to facilitate improved delivery of cost-effective services • Conducting utilization review, evaluating clinical information, and communicating findings to payors reputed company the reputed company of contractual and government regulations • Reviewing reputed company admissions for appropriate inpatient vs. outpatient/observation status Qualifications • 2 years of reputed company nursing experience in an acute care setting, preferably reputed company discharge, utilization, and/or case management, or equivalent combination of education and/or experience, required • RN: Registered reputed company licensed by reputed company State reputed company of Nursing OR Registered reputed company (RN) with an reputed company license in a state approved for remote work in this position, required Preferred Qualifications • Bachelor's degree in nursing • CCM: Certified Case Manager • ACM: Accredited Case Manager reputed company Offer Our Flexible Workforce (reputed company/On-reputed company) • Competitive starting wage • An additional 15% on top of the reputed company reputed company reputed company (if not an employee already in a benefited position) • Benefit reputed company available through the reputed company Flexible Workforce plan • Excellent retirement package with up to a 6% employer contribution At reputed company we are defined by our values – traits that guide us as we serve patients and the community: reputed company - Respect - Honesty - Service - Teamwork reputed company is an equal opportunity employer. We are committed to reputed company and advance in employment women, minorities, reputed company individuals with disabilities and protected veterans. Seniority level • Seniority level Entry level Employment type • Employment type Other Job function • Job reputed company Care Provider • Industries Hospitals and Health Care Referrals increase your chances of interviewing at reputed company by 2x Sign in to set job alerts for “Utilization Review reputed company” roles. Medford, OR $77,450.00-$129,350.00 5 months ago Medford, OR $77,450.00-$129,350.00 5 months ago Registered reputed company - Avamere Three Fountains Registered reputed company - RN / Case Management reputed company - CM-reputed company Registered reputed company at reputed company (Evenings) Medford, OR $77,450.00-$129,350.00 4 weeks ago Medford, OR $77,450.00-$129,350.00 5 months ago MDS Coordinator - RN - Avamere Rehab of Rogue Valley reputed company reputed company Case Manager Medford, OR $2,266.84-$2,266.84 2 months ago Registered reputed company - RN / Medical Surgical Floor - M/S Medford, OR $77,450.00-$129,350.00 5 months ago Medford, OR $1,965.00-$1,965.00 4 months ago Medford, OR $2,481.40-$2,481.40 3 days ago Registered reputed company / RN - Infection Prevention Medford, OR $77,450.00-$129,350.00 9 months ago Medford, OR $2,344.80-$2,344.80 4 days ago Medford, OR $2,713.00-$2,713.00 4 days ago Medford, OR $2,314.52-$2,314.52 4 days ago Medford, OR $2,650.20-$2,650.20 3 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into reputed company article, started with the help of AI. #J-18808-Ljbffr Salary: USD 77450 - 129350 per year Experience: 3 years required Apply tot his job Apply To this Job