Description: Judge Healthcare is currently seeking a Remote Utilization Management RN!
Type: Contract to Hire
Schedule: Monday to Friday 8AM to 5PM CST. Training will be 2 weeks with the same schedule Rate: Dependent on Experience
Responsibilities:
3 reviews per hour
Maintain Compliance standards with UM & reviews
Maintain compliance with contractual obligations in meeting 24-our Turn-Around-Time (TAT)
100% re-review of all cases converted to OBS per Medical Director Review, creating new authorization and performing medical necessity review if stay exceeds 2 midnights.
Timely escalation to market teams for discharge planning.
Qualifications & Requirements:
TruCare
MCG
Microsoft Office Suite
Contact: vsantis@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
