Job Description & RequirementsUtilization Review - Managed Care Nurse - (UL RN)StartDate: ASAP Available Shifts: 8 D Pay Rate: $2135.83 - 2353.77Required

InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to review and evaluate medical or behavioral eligibility regarding benefits

…word processing and spreadsheets is required. Knowledge of reimbursement models (commercial, managed care , Medicare) is preferred. Experience Three to five years

Experienced Critical Care Nurse Practitioner or Physician Assistant needed for 10-bed ICU. Hours are Monday-Friday, 7:00 pm 3:00 am. JOB

…Review, Utilization Management, Registered Nurse , MCO, RN, LVN, Licensed Vocational Nurse , Managed Care , Medical Claims, Appeals, Mail Order Medications,

…Pay Rate Keywords: Utilization Review, Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed Care , Nurse Manager, URAC, CCM, Case

…and externally with partners, regulators and enrollees. Experience working in a managed care environment with proficiency using Microsoft Office tools. Should

…in Healthcare or related field. Minimum five years' clinical experience as a registered nurse . Managed care case management experience working with dual

…Certification in related field preferred. Work Traits: Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and

…and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and