Care Review Clinician - UR RN

healthcaresupportstaffing1
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📍 MI📍 Troy📍 Troy, MI, United States📍 us

About this role

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Job Description:

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!


Daily Responsibilities:  

• Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team

- Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

- Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare


Qualifications

Hours for this Position:

• Mon-Fri 8:30am-5pm


Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Acquire new skills and broaden your experience / expertise

• Fun and positive work environment


Qualifications/ Requirements: 

• Utilization Review background in either Managed Care of Provider environment (at least one year)

• RN License in Michigan

• Interqual experience (at least one year)

• Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management


Additional Information

Interested in hearing more about this great opportunity?

If you are interested in applying to this position, please click Apply Now and email your resume to Michael Grifon.


Frequently Asked Questions

Is the salary disclosed for the Care Review Clinician - UR RN position at healthcaresupportstaffing1?
The salary for this Care Review Clinician - UR RN role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Care Review Clinician - UR RN position at healthcaresupportstaffing1 located?
This Care Review Clinician - UR RN role at healthcaresupportstaffing1 is based in MI, Troy, Troy, MI, United States, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
How do I apply for the Care Review Clinician - UR RN position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Care Review Clinician - UR RN job at healthcaresupportstaffing1 posted?
This Care Review Clinician - UR RN position at healthcaresupportstaffing1 was posted on Apr 19, 2016. Apply as soon as possible — early applications are often reviewed first.
Care Review Clinician - UR RN
healthcaresupportstaffing1
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