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RN Utilization Management

1 month ago


Denver, United States Actalent Full time

Job Title: Quality Coordinator - Critical Need Job Description As a Quality Coordinator, you will be part of the Inpatient Utilization Management department. Your primary responsibilities will include reviewing inpatient/observation hospital stays using MCG criteria. There may also be a possible need to assist in post-acute reviewing Home health LTACH SNF etc. While no clinical certifications are required for this role, having MCG certification and CCM or ACM-N will be a plus. Hard Skills Reviewing inpatient/observation hospital stays Using MCG criteria Assisting in post-acute reviewing Home health LTACH SNF etc Qualifications: Active RN License for Colorado BLS 3+ years of experience with Utilization Management Work Environment The role will be based in our Inpatient Utilization Management department. Some flexibility may be required to assist in other areas as needed. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.