RN Care Management(Remote)

Utilization Management Registered Nurse

NaphCare is hiring an experienced Utilization Management Registered Nurse just like you to join our Remote based, Arizona team. NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 35 years. NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. Develop, implement, and administer the quality assurance and utilization review processes

Monitor and report on the quality of all facets of the medical care provided to patients

Gather clinical information to assess and expedite care needs

Determine need, if any, for intervention, and discussing with physicians

Reviews requests from providers regarding medical necessity of requested services for patients

Reviews and audits patients' medical records as indicated to determine medical necessity

Utilizes nationally recognized criteria to determine medical necessity of requested services

Refers provider requests to Medical Director or designee when medical necessity of requested services does not meet recognized criteria

A current and unrestricted RN license in Arizona

A minimum of 3 years' experience in an acute care setting and 2 years' experience in utilization review and/or case management

Some travel required.

Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift.

NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare, now may be the time. NaphCare Benefits for Full-Time Employees Include:

• Health, dental & vision insurance that starts day one!
• Prescriptions free of charge through our health plan, beginning day one!
• Employee Assistance Program (EAP) services
• Referral bonuses
• Term life insurance at no cost to the employee
• Generous paid time off & paid holidays
• Equal Opportunity Employer: disability/veteran