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Job Overview
Compensation
Salary
Range $78,853.92 - $83,413.92
Work Schedule
Standard Hours
Day Shifts
Benefits
Day 1 insurance
Medical insurance
Dental Insurance
Vision Insurance
License reimbursement
Travel Discounts
Referral Bonus
Job Description
GQR Healthcare is a distinguished talent partner specializing in connecting highly skilled healthcare professionals with top-tier opportunities throughout the United States. As an industry leader, GQR Healthcare is committed to advancing healthcare quality by aligning professionals with roles that match their expertise, values, and career goals. This dedicated approach ensures that healthcare experts not only find roles suited to their skills but also thrive in their work environments, promoting improved patient outcomes and enhancing the overall healthcare experience. Known for its deep market specialization and expansive candidate network, GQR Healthcare supports its professionals from the initial conversation through the entire... Show More
Job Requirements
- valid registered nurse (rn) licensure
- minimum of 2 years nursing experience preferably in utilization review or case management
- availability to work 12-hour day shifts
- willingness to travel and adapt to short-term acute care settings
- ability to provide accurate and timely utilization reviews
- excellent organizational skills
Job Qualifications
- registered nurse (rn) license
- experience in utilization review or case management
- knowledge of healthcare regulations and utilization review processes
- strong communication and interpersonal skills
- ability to work independently and as part of a team
- proficiency in medical documentation and electronic health records
Job Duties
- conducting comprehensive utilization review of patient cases
- evaluating patient care plans for medical necessity
- authorizing medical services and treatments
- collaborating with multidisciplinary healthcare teams
- ensuring compliance with healthcare regulations and standards
- documenting case management activities accurately
- communicating with patients and providers to facilitate care coordination
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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