• Utlization Review Nurse

    Location US-NY-New York
    Posted Date 2 weeks ago(10/10/2018 2:23 PM)
    Job ID
    2018-12270
    # Positions
    1
    Facility
    ArchCare Community Life
    Experience (Years)
    2
    Category
    Care Management
    Work Days Per Week
    5
    Shift
    D
    Shift Start Time
    9:00am
    Shift End Time
    5:00pm
    Type
    Full-Time
    # Hours
    7
  • Overview

    The purpose of this position is to ensure that Archcare Community Life MLTC members obtain timely, cost-effective, quality care in the appropriate setting. The primary role of the Utilization Review (UR) Nurse is to conduct timely review of service requests to assure that our members receive all appropriate services in compliance with medical and regulatory guidelines. In all areas, the UR Nurse is charged with managing the delivery of care in an effective, professional and compassionate manner.

     

    *Be advised, this is not a remote position.  All applicants under consideration will be aware that this is in-office

    Responsibilities

    Collaborate with multiple business parties to ensure timely resolution of service requests. Follow Archcare policies and procedures and departmental process. Adhere to business code of conduct. Responsibilities include, but are not limited to, review and authorization of service requests. 

    Qualifications

    Associate degree required. Bachelors degree preferred. 2 years prior utilization management experience required.

    NYS RN License is required.

     

     

    ArchCare is an Equal Opportunity Employer.

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