LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance (Remote), California.
Job Description & RequirementsYears of Experience: at least 3 years acute CM/UM experience
Charting System Required: Epic
RN and active State License
HARDSTOP INTERQUAL and EPIC are required
• Special Procedures/Unit Details:
this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).
3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group)
•InterQual required, this is a Hardstop
•Experience with HMOs, IPAs, etc.
• Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc.
•Proficient with Epic, recent use required within the last 6-12 months
HCRK 1
• Patient Diagnoses:\nvariety of adult/pediatric acute and chronic diagnoses
About LanceSoftEstablished in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
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