Travel Nurse RN - Utilization Review - $1,400 per week
Company: TalentBurst, Inc
Location: Irving
Posted on: November 6, 2024
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Job Description:
Job DescriptionTalentBurst, Inc is seeking a travel nurse RN
Utilization Review for a travel nursing job in Irving, Texas.Job
Description & Requirements
Shift - Monday-Friday 8 hours
Hours - 40 hours/week
Location - Irving TX 75039
JOB SUMMARY
The RN Utilization Review II is responsible for determining the
clinical appropriateness of care provided to patients and ensuring
proper hospital resource utilization of services. This RN is
responsible for performing a variety of pre-admission, concurrent,
and retrospective UM related reviews and functions. They must
competently and accurately utilize approved screening criteria
(InterQual/MCG/Centers for Medicare and Medicaid Services "CMS"
Inpatient List). They effectively and efficiently manage a diverse
workload in a fast-paces, rapidly changing regulatory environment
and are responsible for maintaining current and accurate knowledge
regarding commercial and government payors and Joint Commission
regulations and guidelines related to UM. This RN effectively
communicates with internal and external clinical professionals,
efficiently organizes the financial insurance care of the patients,
and relays clinical data to insurance providers and vendors to
obtain approved certification for services. The RN Utilization
Review Nurse collaborates as necessary with other members of the
health care team to ensure the above according to the mission of
CHRISTUS. MAJOR JOB
RESPONSIBILITIES
• Applies demonstrated clinical competency and judgment in order to
perform comprehensive assessments of clinical information and
treatment plans and apply medical necessity criteria in order to
determine appropriate level of care
• Resource/Utilization Management appropriateness: Assess assigned
patient population for medical necessity, level of care and
appropriateness of setting and services. Utilizes MCG/InterQual
Care Guidelines and/or health system approved tools to track impact
and variance
• Uses appropriate criteria se
Our client is a faith-based, not-for-profit health system
comprising almost 350 services and facilities, including more than
60 hospitals and long-term care facilities, 175 clinics and
outpatient centers and dozens of other health ministries and
ventures.
#TB_HC
Talent Burst Job ID #24-09016. Pay package is based on 9 hour
shifts and 40 hours per week (subject to confirmation) with
tax-free stipend amount to be determined. Posted job title:
Registered Nurse Utilization Review 1366About TalentBurst,
IncTalentBurst Health & Life Sciences is an established provider of
healthcare workforce solutions, servicing healthcare facilities
across the United States for over 15 years. As a Joint Commission
Certified Agency, our commitment to quality, integrity, and
exceptional service has made us a trusted name in the healthcare
staffing landscape.Our mission is to bridge the gap between
healthcare professionals seeking fulfilling opportunities and
healthcare organizations striving to maintain their high standards
of care. We are committed to providing top-notch healthcare
professionals with access to facilities where they can focus on
delivering exceptional patient care and thrive.Whether you're a
nurse, allied health professional, or administrative personnel, we
have the expertise to match your skills and aspirations with the
perfect placement.
Keywords: TalentBurst, Inc, Denton , Travel Nurse RN - Utilization Review - $1,400 per week, Healthcare , Irving, Texas
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