Registered Nurse
7 days ago
Avera Health Plans is seeking a skilled Registered Nurse to join our team in a Utilization Management role.
About AveraAward-winning health care organization with a reputation for excellence, Avera has been recognized as one of the nation's top health systems and a leader in innovation.
Job Summary- Authorization processes, coordination of care, and review of outpatient/inpatient care.
- Evaluation of options and services required to meet the member's health and psycho-social service needs.
- Discharge planning, in support and collaboration with care coordination and case management programs.
- Ensure members receive the right care, at the right time, and in the right place.
- Collaborate with care coordination and case management programs to support member needs.
- Review and authorize services to ensure alignment with member needs and organizational goals.
- Bachelor's degree in Nursing preferred.
- Registered Nurse with a minimum of five years of professional nursing practice experience in the acute care setting.
- Managed Care experience in a HMO setting preferred.
- Proficient in Microsoft Office and data extraction tools.
- Monday-Friday, 8:00am-5:00pm; 80hrs/2wks
- Hourly rate: $44.25 per hour
Avera offers a positive work environment, competitive pay, and opportunities for career growth and development.
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