Utilization Review Nurse (RN)
Location: Manchester New Hampshire
Description: Randstad Healthcare is hiring Utilization Review Nurse (RN) right now, this job will be placed in New Hampshire. Further informations about this job opportunity kindly see the descriptions. Length of Assignment: 13 Weeks,8 Weeks
Shift: 8 Hour,Days
Covering MassHealth (Medicaid) members, this Health Plan is a managed care organization serving over 240! ,000 members statewide. The Prior Authorization Medical Clinician evaluates and approves requested services using Organizational Policies or InterQual® screening criteria. Manages appropriate cases that may require single services such as Home and Outpatient Service Requests for Skilled Nursing, OT, PT, DME, and Elective Surgeries. Monitors and complies with all state and DOI requirements relative to accuracy and turn around time for PARS and adheres to the benefit design of MH and CWC in managing all requests
Compensation Overview:
To be discussed with recruiter at the time of submittal.
Associated Job Titles: Utilization Review Nurse (RN),Case Manager (RN)
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Randstad Healthcare.
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This job starts available on: Thu, 07 Nov 2013 21:22:41 GMT