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RN Utilization Management

SWIFT STRATEGIC SOLUTIONS INC
Hadley, MA Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 4/6/2025

Job Title: RN UM (Utilization Management)
Location: Hadley, MA
Shift: Day Shift
Contract Length: 9 Weeks
Guaranteed Hours: 40 hours per week
Position Summary:
We are seeking a skilled and compassionate Registered Nurse (RN) to join our Utilization Management (UM) team in Hadley, MA. This is a full-time position offering 40 guaranteed hours per week on the day shift for a 9-week contract. The ideal candidate will have strong clinical experience, excellent communication skills, and a passion for improving patient outcomes through effective utilization management.
Responsibilities:

  • Conduct utilization reviews and ensure appropriate care management for patients.
  • Collaborate with physicians, healthcare teams, and insurance providers to ensure optimal care plans.
  • Evaluate the medical necessity and appropriateness of services and treatments.
  • Ensure compliance with healthcare regulations, policies, and procedures.
  • Monitor patient progress and ensure continuity of care throughout the treatment process.
  • Maintain accurate and up-to-date patient records.

Qualifications:

  • Current RN license in the state of Massachusetts.
  • Certification Requirements:
  • Utilization Management Certification (CPUM) or similar UM certification preferred.
  • Case Management Certification (CCM) or eligibility to obtain within 6 months of hire, preferred.
  • Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications required.
  • Previous experience in Utilization Management or a similar clinical setting preferred.
  • Strong communication and critical thinking skills.
  • Ability to work independently and as part of a team.
  • Must be able to commit to the full 9-week contract and 40 guaranteed hours per week.

Benefits:

  • Competitive pay.
  • 40 guaranteed hours per week.
  • Opportunity to work with a dedicated healthcare team in a supportive environment.
  • Potential for additional certifications or training opportunities.

Interested candidates are encouraged to apply and join our dynamic team dedicated to providing exceptional care.

Job Type: Contract

Pay: $67.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • Weekends as needed

Ability to Commute:

  • Hadley, MA 01035 (Required)

Ability to Relocate:

  • Hadley, MA 01035: Relocate before starting work (Required)

Work Location: In person

Salary : $67

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