Registered Nurse - Barre, United States - MediBril LLC

MediBril LLC
MediBril LLC
Verified Company
Barre, United States

4 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Duration: 12 weeks

Job Summary

Position:
Registered Nurse for Utilization Management (RN UM)

Duties:


  • Review and assess medical records, consults, and diagnostics to evaluate the clinical appropriateness of hospital admissions, surgeries, and other medical procedures.
  • Engage in case reviews with healthcare providers, care teams, and insurance companies to determine the necessity and duration of medical treatments.
  • Implement and coordinate the clinical aspects of the case management plan, including care coordination, authorization, and referral control.
  • Provide clinical guidance to members and their families for informed medical decisions.
  • Work closely with healthcare providers to coordinate effective care plans that meet patient needs while controlling healthcare costs.
  • Conduct precertification, continued stay review, care coordination, and discharge planning.
  • Monitor patient outcomes and make recommendations for improvement in care plans.

Qualifications:


  • A degree in Nursing from an accredited institution.
  • Active RN license in the state of practice.
  • Previous experience in Utilization Management, Case Management, or related field.
  • Exceptional analytical, organizational, and communication skills.
  • Strong clinical knowledge with the ability to interpret and analyze medical records.
  • Knowledge of medical coding, medical terminology, and healthcare laws/regulations.

What We Offer:


  • Competitive salary and performance bonuses.
  • Comprehensive benefits package, including healthcare, dental, and retirement plans.
  • Professional growth and development opportunities.
  • A collaborative and supportive work environment.

Job Type:
Contract


Benefits:


  • 401(k)
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift

Work setting:

  • Inperson

License/Certification:

  • LVN (preferred)
  • BLS Certification (preferred)
  • LPN (preferred)

Ability to Commute:

  • Barre, VT preferred)

Ability to Relocate:

  • Barre, VT 05641: Relocate before starting work (required)

Work Location:
In person
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