Travel Nurse RN Utilization Review Specialist

2 weeks ago


Saint Helena, California, United States Medical Solutions Full time

About Medical Solutions: At Medical Solutions, we're dedicated to providing exceptional staffing solutions to the healthcare industry. Our team of experts works tirelessly to connect top talent with the best healthcare organizations, ensuring that patients receive the highest quality care.

Role Overview: As a Travel Nurse RN Utilization Review Specialist, you will be part of our dynamic team, working closely with patients, healthcare providers, and payers to coordinate care and resolve issues related to medical treatment and billing. You will leverage your expertise to analyze data, identify areas for improvement, and develop strategies to enhance patient care and reduce costs.

Responsibilities:

  • Utilize your expertise in utilization review to analyze medical records and billing information, identifying potential issues and opportunities for improvement
  • Coordinate care and resolve issues related to medical treatment and billing, communicating effectively with patients, healthcare providers, and payers
  • Develop and implement strategies to enhance patient care and reduce costs, collaborating with healthcare teams to ensure seamless care transitions and optimal patient outcomes

Requirements: To succeed in this role, you must have a strong background in nursing and case management, with excellent analytical, communication, and problem-solving skills. A bachelor's degree in nursing or a related field is required, along with current licensure as a registered nurse (RN) in the state of California.

Estimated Salary: $140,000 - $170,000 per year, depending on experience. Benefits include health, dental, and vision insurance, 401(k) matching, paid time off, and continuing education opportunities.



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