This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join TravelNurseSource as a Travel Nurse RN in Camden, ME, specializing in Utilization Review. In this role, you will ensure that healthcare services are medically necessary and efficient, collaborating with healthcare providers and insurance companies to optimize patient care and resource utilization.
Key Responsibilities
Review patient medical records and treatment plans
Collaborate with healthcare providers on care plans
Work with insurance companies for coverage and authorization
Monitor patient length of stay and discharge planning
Ensure compliance with healthcare regulations
Document findings and prepare reports on utilization metrics
Educate staff on utilization review processes
Required Qualifications
Registered Nurse (RN) license
Strong understanding of clinical care
Knowledge of health insurance guidelines
Experience with utilization review processes
Preferred Qualifications
Experience with InterQual or Milliman Care Guidelines