Hospital
ARMS Staffing
Utilization Review Nurse
This is a 13-week contract position.
Day shift, 5x8-hour schedule from 08:00 to 16:30 PST.
The Utilization Review Nurse will perform comprehensive reviews of medical necessity and ensure compliance with guidelines. This position focuses on both adult and pediatric patient care, utilizing experience in acute hospital settings and proficiency in Epic and InterQual criteria.
Responsibilities:
- Conduct utilization review in accordance with established guidelines.
- Employ InterQual criteria to assess medical necessity and appropriateness of care.
- Ensure compliance with Medicare regulations, including CC44s and ABNs.
- Collaborate with interdisciplinary teams to develop and implement care plans.
- Document findings and communicate effectively with clinical and administrative staff.
- Maintain accurate records in the Epic charting system.
Required Experience / Certifications / Licensure:
- Registered Nurse (RN) license in California is required.
- Minimum of 3 years of recent acute hospital utilization management experience.
- Proficiency in Epic and InterQual systems is mandatory.
- Strong knowledge of CMS regulations and hospital admission criteria.
Why ARMStaffing?
- Health Benefits: Medical, Dental, Vision, Life, and more
- Onboarding Made Easy: We handle physicals, titers, and more so you can focus on care
- Clinical Support: In-house clinical team available to assist and advocate
- 401k Retirement Plan: Eligible after waiting period; 4% match with 5% contribution
- Recruiter Matching: Get paired with a recruiter based on your location and specialty
- Extras: Travel reimbursement, housing allowance, meals, referral bonuses, and more
We're not the only ones who think ARMStaffing should be your first choice. Here's why:
- SIA's Top-50 Fastest Growing Healthcare Staffing Firms 2019
- SIA's Largest Healthcare Staffing Agencies in the U.S. 2023
- Top Workplace in the Lehigh Valley 2022, 2023
- Perfect scores for 'Name, Not a Number' and 'Recruiters' Personalities' on Highway Hypodermics
- We've earned The Joint Commission's Gold Seal of Approval for healthcare staffing 15 years strong and counting!
Contract & local rates may vary based on location and applicant residency. Ask your ARMStaffing recruiter for details!
ARMS StaffingVacancy posted 9 hours ago
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