Utilization Management Nurse Position Available In Fulton, Georgia

Utilization Management Nurse Centurion Health – 2.6 Atlanta, GA Job Details Per diem

Estimated:

$84K – $101K a year 5 hours ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Vision insurance 401(k) matching Life insurance Qualifications RN License Corrections experience Mid-level Utilization management Corrections facility medical clinic Medical management 1 year Associate’s degree Nursing Full Job Description We are currently seeking a per diem Utilization Review Nurse . The Utilization (UM) Nurse performs the review of requests for prior authorization of medical services, including diagnostic, outpatient care and services using defined criteria. Duties will include admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care, review and audit of patient medical records as indicated to determine medical necessity, assistance in completion of Medicaid applications for patients currently hospitalized and serving as a clinical resource and liaison for site and hospital referral staff. GA or compact RN license Utilization management experience, InterQual experience preferred Two (2) years of clinical nursing experience and one year of experience in performing prior authorization review Experience using medical management software programs Experience working with a correctional institution or agency preferred Must be able to pass background investigation and obtain agency security clearance We offer excellent compensation and comprehensive benefits for our full-time team members including: Health, dental, vision, disability and life insurance 401(k) with company match Generous paid time off Paid holidays Flexible Spending Account Continuing Education benefits Much more… For more information, please contact Chris Genova at 615-412-0722 or