We are now in search of a dynamic Utilization Management Nurse for a Direct Hire role with our esteemed client in Dallas, Texas.
Experience:
- Mandatory five years of inpatient clinical nursing experience within an acute care hospital setting.
- Minimum of two years' experience in Utilization Management within an acute care setting.
- Proficiency with drafting and submitting reconsiderations and appeals to Medicare for a minimum of one year.
- Ideally, a minimum of two years' experience with InterQual or Milliman in an acute care setting.
- Bilingual proficiency is highly desirable.
Key Highlights:
- Competitive salary range of $80,000 to $90,000 per annum.
- Monday to Friday schedule, with flexible start and end times (7a-3p, 8-4, or 9-5).
- Responsibilities include administrative and financial oversight for patient stays, with a strong background in Medicare.
- Proficiency in analyzing denial reports and identifying trends to proactively prevent denials.
- Lead UR Committee meetings, with frequency determined by physician schedules.
- Comprehensive benefits package:
- Medical coverage designed to mitigate financial impact for employees and eligible family members.
- Robust dental plan covering implants and child orthodontia, emphasizing preventative care.
- Health Spending Account (HSA) contributions to offset individual/family deductibles.
- Life and Accidental Death & Dismemberment Insurance benefits.
- Supplemental Life Insurance and Short-term & Long-term Disability options.
- Accidental Injury & Critical Illness coverage.
- Retirement savings plan including 401(k) and Roth IRA with a generous employer match.
- Paid Time Off and an Employee Illness Bank for additional leave.
- Additional benefits: Tuition reimbursement, free continuing education, parking, employee health visits, life assistance program, credit union membership, and fitness program.
Top 3 Must-Have Qualifications:
- Telephonic experience.
- Exceptional customer-service skills.
- Experience in an acute-care setting.
Pay Details: $80,000.00 to $90,000.00 per year
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.