Job Title: RN Utilization Review
Profession: Registered Nurse
Specialty: Utilization Review
Duration: 11 months
Shift: Remote Position
Hours per Shift: Full-time, Monday to Friday, 8 AM to 5 PM, or Fri, Sat, Sun, Mon, 10-hour days, options from 6 AM to 8 PM
Experience: 2-4 years in Utilization Management
License: Massachusetts RN License
Certifications: Interqual
Must-Have:
Utilization Management experience
Managed care experience
Line of Business experience (Medicaid, Medicare, Commercial products)
EPIC experience preferred
Description:
This position is remote.
There are three full-time positions available for Monday to Friday, 8 AM to 5 PM.
One position requires weekend work on Fri, Sat, Sun, and Mon, with 10-hour shifts from 6 AM to 6 PM, 7 AM to 7 PM, or 8 AM to 8 PM.
Candidates must have a current Massachusetts RN license.
Experience with Interqual is necessary.
Two to four years of Utilization Management experience is required.
Candidates should have two to four years of managed care experience.
Experience with Medicaid, Medicare, and Commercial products is essential.
Knowledge of EPIC software is preferred.
Numbers & Facts
Location
Somerville, MA (Remote)
Industry
Healthcare Services
Salary
$2,101.09
Company Size
1,000 to 1,499 employees
Website
https://cynethealth.com/
About Company
Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier.
Skills
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Epic Systemsunmatched
Managed Careunmatched
Medicaidunmatched
Medicareunmatched
Registered Nurse (RN)unmatched
Utilization Managementunmatched
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