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

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

    2 weeks ago

    Default job background
    Healthcare
    Description
    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:
    • 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 àonce per quarter, early in quarter



    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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