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Local Contract Nurse RN - Utilization Review - $84 per hour
Trusted Resource Associates (TRA) • Remote • Posted 25 days ago
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Remote • Full-time • $84.00/hr • Contract • Mid Level
Job Highlights
Using AI ⚡ to summarize the original job post
Trusted Resource Associates (TRA) is seeking a local contract nurse RN specializing in Utilization Review for a 13-week contract job in Modesto, California. The role involves facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This position requires managing the medical necessity process for accurate and timely payment for services, which may involve negotiation with payers on a case-by-case basis.
Responsibilities
- Facilitating care along a continuum through effective resource coordination
- Helping patients achieve optimal health, access to care, and appropriate utilization of resources
- Managing medical necessity process for accurate and timely payment for services
- Negotiation with a payer on a case-by-case basis
Qualifications
Required
- At least 2 years acute care experience
- At least one year of Case Management experience in an Acute Care Discharge environment
- Must have a California RN license
- BLS certification
Preferred
- Bachlor of Science in Nursing
Full Job Description
Job Description
Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: RN
- Start Date: 10/07/2024
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Local Contract
TRA Case Manager
TRA is Tenet's in-house nationwide contingent pool for Nursing and Allied travel and local contracts. Receive a greater level of Contract security compared to with an outside agency.
The RN Case Manager is responsible to facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case by case basis.
Schedule:
- This is a remote position.
- Must be available to work 8 am to 5pm Pacific Time or during hospital business hours.
- Must have a California RN license.
Preferred Education
Bachlor of Science in Nursing
Minimum Experience
Must have at least 2 years acute care experience and at least one year of Case Management experience in an Acute Care Discharge environment
Required Certification/Licensure
-State License
-BLS
BENEFITS
- Guaranteed hours for Travel Contracts
- Preferred Booking Agreement for Local Contracts
- Weekly Pay
- Holiday Pay
- Contract Security compared to a contract with an outside agency
Our Hire Process
- We do qualify our clinicians to meet or exceed the minimum requirements of a travel or local assignment. If you are qualified, we may direct-hire you, reducing the time we can get you to work! When you reach out to a TRA Recruiter for more details, ensure your Vivian profile includes your most updated resume!
Trusted Resource Associates (TRA) Job ID #18100.
Benefits- 401k retirement plan
- Weekly pay
- Holiday Pay
- Referral bonus
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