4 Utilization Review Nurse - RN (Remote) Jobs in Houston, TX
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Utilization Review Nurse - RN (Remote)
$76k-94k (estimate)
Full Time
2 Weeks Ago
Morgan Stephens is Hiring a Remote Utilization Review Nurse - RN (Remote)
Job SummaryAs a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both commercial and government.
MUST HAVE TEXAS LICENSEKey Responsibilities
Benefits: YesJoin our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care.
MUST HAVE TEXAS LICENSEKey Responsibilities
- Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting.
- Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams.
- Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment.
- Foster positive collaboration with the Care team to facilitate timely patient progression during their stay.
- Current Nurse license or Clinical License in TEXAS
- Associate's degree; Bachelor's degree preferred.
- Pediatric experience experience and 3 years of Utilization Management experience.
- Hospital case management experience is advantageous.
- Proficiency in federal and state regulations (Medicaid/Medicare) and familiarity with third-party payers and managed care principles.
Benefits: YesJoin our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care.
Job Summary
JOB TYPE
Full Time
SALARY
$76k-94k (estimate)
POST DATE
06/01/2024
EXPIRATION DATE
06/30/2024
WEBSITE
morganstephens.com
HEADQUARTERS
TALLAHASSEE, FL
SIZE
<25
FOUNDED
2014
CEO
JOSEPH TOLLAND
REVENUE
<$5M
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