Case / Utilization Management

Posted: 9/16/2019 10:11:10 PM

Job Snapshot

Location: Minneapolis, MN, US
Posting ID: 6872534

Job Summary



Hiring for a Utilization Review Nurse in the Minneapolis area, interview ASAP.



Job Duties:
  • Responsible for promoting appropriate, effective, and efficient use of health care resources via Pre and Post-service review, appeal, program, and network referrals
  • Scope of this position includes the review of clinical care and treatment plans by staff in IHM (Integrated Health Management) and CSC (Comprehensive Health Care) departments
  • Some of this will include taking unlisted codes that may be coming in and being able to associate them to pricing and known codes within the plans


Must have:
  • 5 years of clinical RN experience
  • Experience determining medical necessity and appropriateness of care
  • Currently licensed in state of MN
  • Nice to have: Prior Auth / UM experience


Job Details:
  • This role has the potential to be remote
  • Benefits offered
  • Full time
  • Monday through Friday








About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email accommodation@aerotek .com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Skills

health care
nice (unix utility)
clinical works
registered nurse certified
prior authorization
appeals
medical necessity
health administration
service review

About CareerCircle

The statistic has gone viral that there will be a talent shortage of 85.2M people by 2030. CareerCircle was founded in the spirit of finding solutions to address the pending skills gap versus falling victim to it. With so many capable people wanting to find employment and employers needing partners to achieve their goals, CareerCircle is here to provide a bridge.

At CareerCircle, we recognize that CareerskillingTM is the fastest path to improved performance and securing your ideal role. To advance your skills, you need access to the highest caliber of online education technology that is delivered in a meaningful way. Here is where we come in. We partner with experts in education technology to deliver unique learning experiences that can be instructor-led or self- paced, supplemented with the necessary support for optimal results. By completing the coursework provided by these groups, candidates gain the ability to be marketed to recruiters and potential employers with an emphasis on acquired skills and performance, versus limited work history or listed resume experience. In the end, your journey of advanced education leads to higher pay, flexibility, and a better life.

Contact Information

Name: Garrit Otten
Phone: (763) 923-2071