Local Contract Nurse RN - Utilization Review - $38-41 per hour

Care Career is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Austin, Texas.

Job Description & Requirements

• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Local Contract

Job Details

Job Title: RN – Utilization Management
Facility Type/Setting: Utilization Management – Fully Remote
Shift & Schedule: 08:30 AM–05:00 PM
Weekly Hours: 40
Contract Length: 13 weeks
 

Requirements:

• Licensed RN – Multistate or TX RN
• 2 years acute care utilization management experience or equivalent
• Proficiency with InterQual/MCG and CMS regulations

Responsibilities

• Review admissions and service requests for medical necessity and reimbursement compliance
• Provide case management and consultation for complex cases
• Assist with coding, documentation, precertification, reimbursement, and claim denials/appeals
• Assess and coordinate discharge planning
• Prepare utilization review reports as needed
• Coordinate compliance with utilization management regulations

Special Notes

• Fully remote position
• Centralized acute admission utilization review across 13 acute care and critical access hospitals
• EMR: Cerner with Careport (Allscripts)
• Preferred: Payor portal experience, managed Medicare/Medicaid familiarity, Google Workspace, and remote work experience
• Must be adaptable with multiple technologies simultaneously

Utilization Management – Fully Remote

About Care Career

Benefits

• Referral bonus
• Weekly pay
• Medical benefits
• Continuing Education
• Dental benefits
• Vision benefits