What are the responsibilities and job description for the RN Utilization Review position at Sterling Therapy Solutions?
Job Opportunity: RN Utilization Review
Location: Omaha, NE, 68122
Position Details
Shift Schedule: 08-hour Day shifts
Assignment Duration: 13 weeks
Pay Rate: $64/hr on W2
About the Role
We are seeking an experienced RN for a 13-week contract in a Utilization Review Unit in Omaha, NE, 68122 . This position offers a rewarding opportunity to provide essential patient care in a behavioral health setting.
Key Responsibilities
✔ The UR nurse reviews patient medical records to evaluate the treatments and services provided. They ensure that the care is appropriate and aligned with the patient's condition, diagnosis, and medical needs.
✔ One of the core tasks of the UR nurse is to determine if the medical services provided are medically necessary. This means assessing whether a treatment, procedure, or hospitalization is required based on the patient's diagnosis and the severity of the illness or condition.
✔Utilization Review nurses often use established clinical guidelines and criteria (such as InterQual or Milliman Care Guidelines) to help determine the necessity and appropriateness of services.
✔ UR nurses may recommend alternative care options, suggest adjustments to treatment plans, or collaborate with the healthcare team to ensure the most efficient and appropriate care is provided.
✔ If a service is deemed unnecessary or if an insurance company denies coverage, the UR nurse may appeal the decision or work with the healthcare team to find alternative treatments.
Qualifications Required:
✅ Active and unrestricted AZ RN License.
✅ Minimum of 2 years of RN experience (NICU experience preferred).
✅ Current BLS certification.
Why Join Us?
Competitive Weekly Pay: Earn top rates based on experience.
Premier Behavioral Health Facility: Work in a specialized unit.
Professional Growth: Gain valuable experience in patient care.
Flexible Assignments: 13-week contracts with 08-hour day shifts.
How to Apply
For more details or to apply for this RN Utilization Review opportunity in Omaha, NE, contact Mike Johns/(408) 883 6979 directly. Don't miss this chance to advance your career in health nursing with a flexible contract and competitive pay!
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Job Types: Full-time, Contract
Pay: $62.00 - $64.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to Commute:
- Omaha, NE 68122 (Required)
Ability to Relocate:
- Omaha, NE 68122: Relocate before starting work (Required)
Work Location: In person
Salary : $62 - $64