Utilization Management Nurse
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Job Location:
Jefferson City, MO - USA
Monthly Salary:
Not Disclosed
Posted on:
11 days ago
Vacancies:
1 Vacancy
Job Summary
Job Details
Description
Centurion is proud to be the provider of comprehensive healthcare servicesto theMissouri Department of Corrections.
We are currently seeking a PRNUtilization Review Nurse to join our Missouri Regional Office Team located in Jefferson Missouri.
The Utilization (UM) Nurse performs the review of requests for prior authorization of medical services including diagnostic outpatient care and services using defined criteria. Duties will include admissions though on-site and telephonic review to ensure medical necessity and appropriate level of care review and audit of patient medical records as indicated to determine medical necessity and serving as a clinical resource and liaison for site and hospital referral staff.
Qualifications
- MIssouri RN license or ability to obtain license
- Utilization management experience InterQual experience preferred
- Two (2) years of clinical nursing experience and one year of experience in performing prior authorization review
- Experience using medical management software programs
- Experience working with a correctional institution or agency preferred
- Must be able to pass background investigation and obtain agency security clearance
PRN - 20 hours per week
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health dental vision disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
Key Skills
- EMR Systems
- Hospital Experience
- Acute Care
- ICU Experience
- Dermal Fillers
- Experience Administering Injections
- Home Care
- Nursing
- Botox Experience
- Critical Care Experience
- Medication Administration
- Tube Feeding
