Utilization Review/Outpatient Care RN

Company Description

Why You Should Work For Us:

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 Title: Utilization Review/Outpatient Care RN

Are you an experienced Registered Nurse with Utilization Review experience 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!

Position Summary:

As the Utilization Review/Outpatient Care RN, you would be responsible for reviewing and collecting medical information in order to determine medical necessity of services requested.

Hours for this Position: Monday-Friday daytime hours (40 hours/week)

Advantages of this Opportunity:

• Pay $28-$32 per hour, negotiable based on experience
  
• Work for a prominent Healthcare company who pride themselves on partnership, integrity, teamwork, and accountability
• Be a part of a team who serves the full spectrum of member needs
• Weekly deposit options
• Great benefits offered

More Insight of Daily Responsibilities: 

• Ensures that services provided to eligible members are within benefit plan 
• Initiates and continues direct communication with health care providers involved with the care of the member 
• Identifies appropriate clinical settings for services being requested
• Identifies and refers cases appropriate for case management
• Identifies potential quality of care issues and refers to Quality Department
• Determines appropriate utilization management of services requested

Qualifications

What We Look For:

• Clear and active RN license in state of FL
• 2+ years of acute clinical/surgical position
• Recent experience with utilization management

Additional Information

Interested in being considered in this position?

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