Job Title: Utilization Review RN
Location: REMOTE, must be licensed RN in D.C..
Job Description
- Health plan experience
- Hospital experience
- Interqual is preferred. Miliman works as well.
- Experience in health plans reviews (dermal medicine, home health, rehab)
- Pediatric inpatient admissions is a plus
- Authorization, long term care, skilled nursing, behavioral analysis would be a plus.
- Looking at 15 cases a day.
- Pediatrics as well as adults form 18-25
- Can often see cerebral palsy, genetic issues, cancer, behavioral health (bipolar), substance abuse, will often be UR for Admissions
Schedule/Shift: M-F (8-5)
Pay: $40-46/hr DOE
3-5 Must Have Skills/Qualifications
RN with experience, UR in a health plan/insurance, Interqual or Miliman experience
Soft Skill/Attribute Requirements
Self motivated, Productive, good communication skills, manages their emotions effectively