Case Manager / Utilization Review RN Remote

Interim HealthCare - Indianapolis, IN

Indianapolis Indiana

United States

Healthcare - Nursing
(No Timezone Provided)

Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.
Must be Indiana Resident.
It is a 3 month position, hours being Monday-Friday 8A-5P EST.
High speed internet connection is required, along with the ability to connect to a router.
Pay is $35/hour.

Benefits for the Case Manager / Utilization Review Registered Nurse (RN)

  • Flexible schedule
  • Weekly pay
  • Bonus opportunities
  • Healthcare premium reimbursements (for qualifying FT employees)

Responsibilities of the Case Manager / Utilization Review Registered Nurse (RN)

  • Performs telephonic and record reviews to assess the medical necessity of elective and emergent admissions and continued stays, based on severity of illness and intensity of service, criteria.  Enters that data in the computer in an accurate, concise and timely manner.
  • Ensures that the quality of care delivered meets professionally recognized standards of health care.
  • Ensures that the services performed are reasonable, medically necessary and delivered in the appropriate setting.
  • Implements the HCM physician review process, referring cases not meeting admission, continued stay or pre-determination criteria to the medical director.
  • Interacts with hospital UR/CM, providers, physician’s offices, families and members, to facilitate the precertification process.
  • Communicates with the AHDI/HCM Case Managers regarding patients with potential Case Management needs.
  • Runs and/or reviews reports for accuracy on a daily and/or monthly basis.
  • Perform other work-related duties as assigned.

Requirements of the RN

  • Active Registered Nurse (RN) license with in the state of Indiana
  • 1-2 years of recent and related experience, as required by facility
  • Must be able to work independently, yet together as part of a team
  • Must be able to remain calm under pressure
  • Proficient at taking vital signs and administering medication accordingly
  • Active BLS, physical, TB test, and other medical compliance as required by facility

Case Manager / Utilization Review RN Remote

Interim HealthCare - Indianapolis, IN

Indianapolis Indiana

United States

Healthcare - Nursing

(No Timezone Provided)

Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.
Must be Indiana Resident.
It is a 3 month position, hours being Monday-Friday 8A-5P EST.
High speed internet connection is required, along with the ability to connect to a router.
Pay is $35/hour.

Benefits for the Case Manager / Utilization Review Registered Nurse (RN)

  • Flexible schedule
  • Weekly pay
  • Bonus opportunities
  • Healthcare premium reimbursements (for qualifying FT employees)

Responsibilities of the Case Manager / Utilization Review Registered Nurse (RN)

  • Performs telephonic and record reviews to assess the medical necessity of elective and emergent admissions and continued stays, based on severity of illness and intensity of service, criteria.  Enters that data in the computer in an accurate, concise and timely manner.
  • Ensures that the quality of care delivered meets professionally recognized standards of health care.
  • Ensures that the services performed are reasonable, medically necessary and delivered in the appropriate setting.
  • Implements the HCM physician review process, referring cases not meeting admission, continued stay or pre-determination criteria to the medical director.
  • Interacts with hospital UR/CM, providers, physician’s offices, families and members, to facilitate the precertification process.
  • Communicates with the AHDI/HCM Case Managers regarding patients with potential Case Management needs.
  • Runs and/or reviews reports for accuracy on a daily and/or monthly basis.
  • Perform other work-related duties as assigned.

Requirements of the RN

  • Active Registered Nurse (RN) license with in the state of Indiana
  • 1-2 years of recent and related experience, as required by facility
  • Must be able to work independently, yet together as part of a team
  • Must be able to remain calm under pressure
  • Proficient at taking vital signs and administering medication accordingly
  • Active BLS, physical, TB test, and other medical compliance as required by facility