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Travel Utilization Review/Case Management RN
Dilkon, AZ
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Pay Rate: $2,200.00 - $2,400.00 gross per week

Number of Positions: 1

Specialty: Case management

Start Date: As Soon As Credentialed

Travel: All inclusive - Provide onsite lodging, a minute walk from the facility. 

Assignment Length: 13 weeks 

EMR: RPMS

Schedule: 5x8s Tuesday - Saturday

Call:  N/A 

Additional Details about the position

  • Monitors external referral activities set by PRC, providing quarterly reports to ensure the department is on track to meet necessary measures.
  • Provides case management for patients needing referred care for a range of modalities.
  • Works with the patient, family and an interdisciplinary team; develops a care and service delivery plan based on needs of patient, available provider, and financial resources.
  • Conducts appropriate concurrent and retrospective reviews on referred care to patients to determine the appropriateness of procedures, and the necessity of continued care.
  • Determines medical necessity and appropriateness of level of care using Centers for Medicare & Medicaid Services (CMS) approved criteria for inpatient and outpatient referred care encounters.
  • Checks the severity of illness, intensity of service and criteria on referred patients.

 

EXPERIENCE REQUIREMENTS

  • 1 year case management or utilization review 

 

CERTIFICATION REQUIREMENTS 

  • ACLS
  • BLS
  • PALS

 

LICENSURE REQUIREMENT 

  • Any State License


ABOUT THE FACILITY 

IHS outpatient health center in northern AZ


DC


Benefits: (NurseStar Covers 50% of your monthly benefit cost)

  • Dental Insurance 
  • Health insurance 
  • Paid sick time 
  • Paid time off 
  • Travel reimbursement 
  • Vision insurance 


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