Bestica is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California.
2919677
RN Utilization Review
Certifications Required:
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
2919677 RN Utilization Review Certifications Required: 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
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