Maine Staffing Group
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USD
40
51.76
HOUR
true
Temporary Utilization Review Nurse
Posted: 01/22/2025
2025-01-22
2025-02-22
Employment Type:
Contract
Industry: Talent Skills
Job Number: AB50919318
Pay Rate: $40-51.76 / hour
Job Description
Are you a skilled RN looking for a new adventure? Our Portland Client in search of a Temporary Utilization Review Nurse
Location: Portland, Maine Duration: 3-6 monthsHours: 8:00 am - 4:30 pm
Job Description Key Outcomes/Results:● Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issuesEducation/License(s) and/or Certification(s): ● Unrestricted state license as a Registered Nurse required; BSN preferred. ● Certification in managed care nursing or care management desired (CMCN or CCM) Required● Unrestricted state license as a Registered Nurse Skills/Knowledge/Competencies (Behaviors):● Maintains current licensure and practices within scope of license for current state of residence. Experience:● 3+ (total) years clinical nursing experience ● Utilization management experience in a managed care or hospital environment required● Maintains contemporary knowledge of evidence - based guidelines and applies them consistently and appropriately.● Ability to analyze data metrics, outcomes and trends.● Excellent interpersonal, verbal and written communication skills● Critical thinking: can identify root causes and understands coordination of medical and clinical information● Ability to prioritize time and tasks efficiently and effectively● Ability to function independently● Computer proficiency in Microsoft Office products including Word, Excel, and Outlook
Location: Portland, Maine Duration: 3-6 monthsHours: 8:00 am - 4:30 pm
Job Description Key Outcomes/Results:● Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issuesEducation/License(s) and/or Certification(s): ● Unrestricted state license as a Registered Nurse required; BSN preferred. ● Certification in managed care nursing or care management desired (CMCN or CCM) Required● Unrestricted state license as a Registered Nurse Skills/Knowledge/Competencies (Behaviors):● Maintains current licensure and practices within scope of license for current state of residence. Experience:● 3+ (total) years clinical nursing experience ● Utilization management experience in a managed care or hospital environment required● Maintains contemporary knowledge of evidence - based guidelines and applies them consistently and appropriately.● Ability to analyze data metrics, outcomes and trends.● Excellent interpersonal, verbal and written communication skills● Critical thinking: can identify root causes and understands coordination of medical and clinical information● Ability to prioritize time and tasks efficiently and effectively● Ability to function independently● Computer proficiency in Microsoft Office products including Word, Excel, and Outlook
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Discover exciting job opportunities in the vibrant Portland, Maine area! Known for its picturesque coastal charm, bustling Old Port district, and thriving arts scene, Portland is a city brimming with career possibilities and growth potential. From the renowned Portland Museum of Art to the eclectic array of seafood eateries along Commercial Street, there's no shortage of charm and culture to explore. Home to the Portland Symphony Orchestra, Portland Stage Company, and iconic Hadlock Field where fans cheer for the Portland Sea Dogs, this region offers a perfect blend of work and play. Dive into our job listings today and consider kickstarting your career in this enchanting city by the sea.
