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Travel Nurse RN - Utilization Review - $1,800 per week - Trenton New Jersey
Company: Walker HealthForce Location: Trenton, New Jersey
Posted On: 11/15/2024
Walker HealthForce is seeking a travel nurse RN Utilization Review for a travel nursing job in Trenton, New Jersey.Job Description & Requirements - Specialty: Utilization Review
- Discipline: RN
- Duration: 17 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel**Candidates can live anywhere within the state of New Jersey** Shift: M-F 8AM - 5PM ESTJOB REQUIREMENTS --- Associates Degree--- Must type 100 words per minute--- 3 - 5 years of experience with a background in either of the following:o Utilization Managemento Prior Authorization - Medical Surgical (Inpatient or Outpatient)o Complex Case Management w/ exposure to UM, Concurrento Retrospective Medical Policy Review--- NJ RN or Compact RN License--- Proficient in UM policies and clinical guidelines--- Proficient in Microsoft programs (Care Radius, Excel, OneNote, Outlook, Teams, Word, etc.) PREFERRED JOB REQUIREMENTS--- Bachelor's Degree--- Utilization Review Certification--- Familiarity with UM Pharmacy appeals--- Health Insurance Payer experience--- Familiarity interpreting Milliman Care Guidelines MCG guidelines--- CareRadius platform exposureWalker HealthForce Job ID #232612. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.About Walker HealthForceWalker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!--Benefits
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