Utilization Review Nurse

New
  • Location
    Las Vegas, Nevada
  • Job type
    Contract/Temporary
  • Category
    Medical & Science - Nursing

Adecco Medical & Science is currently recruiting for multiple Full-Time Utilization Review Nurses located in Las Vegas, NV. An Utilization Review Nurse must be able to review each case and determine the most appropriate services, as well as the most cost efficient methods for care of delivery.




A Great Candidate must be able to do the following:

Providing clinical and managed care expertise, as well as Medical Director/physician consultation
Provide first level clinical review for all inpatient and outpatient services requiring authorization for assigned client group
Identifying and reporting quality of care issues
Prepare case files for physician review via Physician Consultant Services or Medical director
Review clinical coverage reviews and assure client recommendations, as designated


Qualifications:

Active RN license
Minimum of 1 year clinical experience in an acute care setting(Previous Utilization Management experience preferred)
Knowledge of ICD-9 and CP coding preferred
Excellent customer service skills including a sense of urgency and ownership for resolving issues



If you are interested in the Utilization Review Nurse opportunity in Las Vegas, NV then please apply directly for immediate consideration. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position, please contact Stephanie Pack at stephanie.pack@adeccona.com.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled







  • Apply with Adecco

Reference number US_EN_2_108175_323682