Healthcare Nurse - Remote

3B Healthcare, Inc.

Registered Nurse Utilization Review (Remote)
Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days 5x8-Hour (08:00 AM 04:30 PM) Schedule: 40 hours per week Weekend Requirement: Rotate every third weekend
Position Overview:
This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).
Required Qualifications:
Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).
InterQual experience is mandatory ; candidates without this will not be considered.
Proficient in Epic, with recent use within the last 612 months.
Experience working with HMOs, IPAs, and similar managed care organizations.
Strong knowledge of Medicare regulations and associated utilization management processes, including:
Condition Code 44 (CC44)
Advance Beneficiary Notices (ABNs)
Hospital-Issued Notices of Noncoverage (HINNs)
Medicare Coverage Status Notices (MCSNs)

3B Healthcare, Inc.

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Vacancy posted 4 days ago

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