Bestica is seeking a travel nurse RN Utilization Review for a travel nursing job in Apple Valley, California.
Job Description & Requirements3118374
RN Utilization Review
Shift: Day 5x8-Hour (08:00 - 16:30)
Must have Acute care management experience
Charting System: EPIC
Years of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting
Skills:
Acute Hospital
Utilization Review
Admission Criteria
Appeals and Denials
Audits
Concurrent Review
Continued Stay Reviews
CPT (Current Procedural Terminology) coding and billing
Medical Necessity
Pre-Cert Review
Prior Authorization
Retrospective Review
Utilize InterQual Criteria
Regulatory
3118374\nRN Utilization Review\n\nShift: Day 5x8-Hour (08:00 - 16:30)\nMust have Acute care management experience\n\nCharting System: EPIC\n\nYears of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting\n\n\nSkills:\nAcute Hospital\nUtilization Review\n\nAdmission Criteria\nAppeals and Denials\nAudits\nConcurrent Review\nContinued Stay Reviews\nCPT (Current Procedural Terminology) coding and billing\nMedical Necessity\nPre-Cert Review\nPrior Authorization\nRetrospective Review\nUtilize InterQual Criteria\nRegulatory
About BesticaWe are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.
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