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Registered Nurse RN - Utilization Review
Denver, CO 80204 | Contract
Hospital in Denver seeking a full-time Utilization Review RN to work in the Managed Care department. Must have 3+ years previous experience in Medical Utilization Management and experience working with health insurance plans. BSN preferred but not required. We prefer experience in Managed Care but equivolent Hospital experience will also be considered. Individual must be highly skilled and well versed with InterQual and MCG.
Candidate will provide medical and/or behavioral health utilization management for members of facility medial plans in accordance with the schedule of benefits and network criteria as defined by the insurance plans nd Medicare/Medicaid.
Actively interviewing, if interested, please apply or contact Heather at 303-322-8300 or firstname.lastname@example.org
- Active Colorado RN license (or Multistate Compact)
- BLS certified through American Heart Association
- Previous Utilization Review Management required
- Nursing degree but be from an accredited school
- Must have Two (2) Medical work references in your field from the last 2 years
- Able to pass a background check and drug screen
- Proof of TB within 12 months and seasonal flu shot
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Since 1988, WSi Healthcare Personnel, Inc. has been committed to providing complete job placement services to the Western Region. Recently voted one of the 10 most dependable staffing agencies in the region we push the boundaries of what a healthcare staffing company can offer both its candidates and its clients.
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