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Utilization Review Nurse

Employer
The Judge Group
Location
Atlanta, GA
Closing date
Sep 15, 2021

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Profession
Nurse
Specialty
Medical Management
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Job Details

Location: REMOTE
Description: Judge Healthcare is currently seeking 40 Utilization Review Nurses to work REMOTE Work From Home!

Terms: 40 hours per week, 10:30-7 or 11:30-8, OT available!

This job will have the following responsibilities:
  • Retrieve and review specific requested documentation from medical records
  • Take incoming requests for prior authorizations, for formulary and non formulary medications, while ensuring a high level of customer service and maximizing productivity.
  • Request can be received via fax or telephone, from providers' offices and pharmacists.
  • Provides clinical review for authorizations in keeping with legal and contractual requirements
  • Successfully complete required training, testing and quality assessments
  • Communicate effectively and professionally with office managers, health systems and any other facility or care providers
  • Abide by all HIPAA and Independence patient confidentiality requirements
Qualifications & Requirements:
  • RN License in state of residence required
  • Excellent EMR/EHR experience REQUIRED.
  • Must have moderate knowledge of how to use a laptop computer and smart phone.
  • 2 years of Utilization Review or Utilization Management experience preferred
  • Telecommute/Work from Home experience highly preferred
If you or anyone you may know might be interested in this position, please send most UP TO DATE resume to jpetro@judge.com or give Jess a call at 484-434-2972 to discuss further.
Thank you!

Contact: jpetro@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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