Registered Nurse

7 days ago


sioux falls, United States Avera Health Plans Full time
Registered Nurse (RN) - Utilization Management

Avera Health Plans is seeking a skilled Registered Nurse to join our team in a Utilization Management role.

About Avera

Award-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.
Responsibilities
  • 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.
Requirements
  • 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.
Work Schedule
  • Monday-Friday, 8:00am-5:00pm; 80hrs/2wks
Compensation
  • Hourly rate: $44.25 per hour
About Working at Avera

Avera offers a positive work environment, competitive pay, and opportunities for career growth and development.


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