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Regional UM Nurse Reviewer, RN, Registered Nurse, UM RN

Company: Corizon Health
Location: Jefferson City
Posted on: July 12, 2019

Job Description:

Corizon Health is the pioneer provider of correctional healthcare in the United States. We are a company built on more than 40 years of innovation and expertise in the industry. Our people, our practices, and our commitment to success are the traits that make us the ideal employer as you begin or continue to advance your correctional healthcare career. We have an exceptional opportunity for a Utilization Management Registered Nurse (RN) to join our healthcare team at the Missouri Regional Office located in Jefferson City, MO. The Utilization Management Specialist is responsible for the implementation of a comprehensive outpatient/inpatient review process utilizing criteria based review standards and standards of best practice. Assist in the control of utilization of resources, pre-occurrence monitoring, concurrent monitoring, intervention and retrospective review. Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and external customers and process improvement initiatives. Qualifications of the Corizon Health Utilization Management Registered Nurse (RN) Licensed in state of employment as a Registered Nurse (RN) 3-5 years' experience in utilization management, case management, quality management. Previous experience with InterQual and/or Milliman Care guidelines. Strong organizational, written and communication skills. Experience with both Inpatient and Outpatient review processes preferred. Corizon Health.Category: Healthcare, Keywords: Registered Nurse (RN)

Keywords: Corizon Health, Jefferson City , Regional UM Nurse Reviewer, RN, Registered Nurse, UM RN, Healthcare , Jefferson City, Missouri

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