Registered Nurse (RN) | Utilization Review
Location: Duarte, CA
Agency: Lancesoft Inc
Pay: $2,750 to $2,800 per week
Shift Information: Nights - 5 days x 8 hours
Contract Duration: 8 Weeks
Start Date: ASAP
TravelNurseSource is working with Lancesoft Inc to find a qualified Utilization Review RN in Duarte, California, 91010!
Shift: Night 5x8-Hour (00:00 - 08:30)
Previous charge experience preferred. 3 years' experience REQUIRED.
EPIC experience REQUIRED
No first time travelers.
Certifications REQUIRED: BLS (AHA)
Certifications preferred: CMC
About Lancesoft Inc
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Skills/Experience REQUIRED: Acute Hospital; Ambulatory; Behavioral Health; Home Health; Hospice; Insurance Company; Long Term Acute Care/Rehab/Skilled Nursing; Telephonic; MS; Pediatrics; SDU/PCU/IMC/Obs; Surgical Services; Womens Services; Admission Criteria; Appeals and Denials; Audits; Benefits Eligibility; Care coordination; Concurrent Review; Continued Stay Reviews; Data Abstraction; Determine Medical Necessity per Evidence-Based Guidelines; Disability case management; Discharge Planning; Disease management; Needs Assessment/ Order DME; Plan of Care; Pre-Cert Review; Prior Authorizations; Retrospective Review; Utilize InterQual Criteria; Utilize Milliman Guidelines; Worker’s comp case management; Admission Criteria; Appeals and Denials; Audits; Concurrent Review; Continued Stay Reviews; CPT (Current Procedural Terminology) coding and billing; Data Abstraction; Medical Necessity; Pre-Cert Review; Prior Authorization; Quality Improvement; Retrospective Review; Utilize InterQual Criteria; Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA (The Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA: Occupational Safety and Health Administration; The Joint Commission/ Core Measure/National Safety Goals; Worker’s Compensation
28736541EXPPLAT
Travel Nurse RN - Utilization Review - $2,750 to $2,800 per week in Duarte, CA • Duarte, CA, US
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