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    Utilization Management Nurse - Dallas, United States - Adecco Medical & Science

    Adecco Medical & Science
    Adecco Medical & Science Dallas, United States

    3 weeks ago

    Default job background
    Healthcare
    Description
    Adecco Medical is seeking a Utilization Management Nurse for a Direct Hire position with our client in Dallas, Texas.

    Experience:
    • Five years inpatient clinical nursing experience in an acute care hospital setting required.
    • Minimum of two years Utilization Management acute care setting experience required.
    • Minimum of one year drafting and submitting reconsiderations and appeals to Medicare experience.
    • Preferably a minimum of two-year InterQual or Milliman experience in an acute care setting.
    • Bilingual preferred

    Highlights:
    • Salary $80K-$90K/ year
    • M-F à 7a-3p, 8-4, or 9-5 (flexible on start/end times)
    • Admin/Finance for patient stays
    • Medicare background
    • Understand- denial reports and trending
    • Ways to prevent denials
    • Leads UR Committee: Attend meetings-varies on time and depends on physicians' schedule once per quarter, early in quarter
    • Medical- TIS provides health care coverage to minimize the potential financial impact of medical costs for employees and eligible family members.
    • Dental- In addition to medical coverage, TIS offers a robust dental plan to reduce out-of-pocket dental care costs which includes implants and child orthodontia. Our plan is designed to encourage preventative care which will ultimately help reduce the need for costly maintenance treatment in the future.
    • Health Spending Account (HSA)- To help offset the cost of individual/family deductibles, TIS offers an HSA with company contributions.
    • Life Insurance & Accidental Death & Dismemberment Insurance- TIS provides full-time employees with a Life and Accidental Death and Dismemberment Insurance benefit.
    • Supplemental Life Insurance- TIS offers employees the opportunity to enroll in Supplemental Life Insurance at competitive group rates.
    • Short-term & Long-term Disability- TIS provides eligible employees the opportunity to stabilize their income in the event they become disabled due to a non-work related injury or illness.
    • Accidental Injury & Critical Illness- In the event of a covered accident, Accidental Injury coverage will pay a lump sum cash benefit with no restriction on how the money is used. Critical Illness coverage helps employees offset out-of-pocket expenses due to a covered life changing health event.
    • TIS encourages employees to save for retirement by offering a 401k (k) and Roth IRA Retirement Plan. TIS provides a generous match and vesting schedule.
    • TIS employees receive Paid Time Off and an Employee Illness Bank to supplement time off from work.
    ADDITIONAL BENEFIT OFFERINGS:
    • Tuition reimbursement
    • Free continuing education
    • Free parking
    • Free employee health visits
    • Life assistance program
    • Credit Union membership
    • Fitness program
    • Top 3 Must Have Qualifications
    • Telephonic experience
    • Excellent customer-service skills
    • Experience in acute-care setting


    Pay Details: $80,000.00 to $90,000.00 per year

    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
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    The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
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