Join Our Team as a Utilization Management Nurse!

Experience Required:

• Five years inpatient clinical nursing experience in an acute care hospital setting

• Minimum of two years Utilization Management acute care setting experience

• Minimum of one year drafting and submitting reconsiderations and appeals to Medicare

• Preferably a minimum of two-year InterQual or Milliman experience in an acute care setting

• Bilingual preferred

Shift Details:

• Monday-Friday, flexible start/end times (7a-3p, 8-4, or 9-5)

Benefits:

• Medical coverage for employees and eligible family members

• Comprehensive dental plan including implants and child orthodontia

• Health Spending Account (HSA) with company contributions

• Life Insurance & Accidental Death & Dismemberment Insurance

• Supplemental Life Insurance at competitive rates

• Short-term & Long-term Disability coverage

• Accidental Injury & Critical Illness coverage

• 401(k) and Roth IRA Retirement Plan with generous match

• Paid Time Off and Employee Illness Bank

• Additional offerings include tuition reimbursement, free continuing education, free parking, free employee health visits, life assistance program, credit union membership, and fitness program

Day-to-Day Responsibilities:

• Provide precertification of inpatient hospitalizations and outpatient procedures

• Conduct telephonic and/or concurrent review of inpatient hospitalizations and outpatient services

• Utilize clinical judgment, utilization management, and regulatory understanding to verify medical necessity

Pay Details: $85,000.00 to $90,000.00 per hour

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adeccousa.com/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.