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Nurse Utilization Review Specialist
2 months ago
Trusted Resource Associates (TRA) is seeking a skilled contract nurse RN for a utilization review position in a local contract nursing role.
Key Responsibilities- Facilitate care coordination to ensure optimal patient outcomes.
- Manage medical necessity processes for accurate and timely payment.
- Negotiate with payers on a case-by-case basis.
- 2+ years of acute care experience.
- 1+ year of Case Management experience in an Acute Care Discharge environment.
- California RN license.
- BLS certification.
- Guaranteed hours for travel contracts.
- Preferred Booking Agreement for local contracts.
- Weekly pay.
- Holiday pay.
- Contract security compared to an outside agency.
As a TRA Case Manager, you will be responsible for facilitating care along a continuum to help patients achieve optimal health and access to care. This position requires effective resource coordination and negotiation with payers to ensure accurate and timely payment for services.
TRA is Tenet's in-house nationwide contingent pool for Nursing and Allied travel and local contracts. Receive a greater level of contract security compared to working with an outside agency.
Our hire process involves qualifying clinicians to meet or exceed the minimum requirements of a travel or local assignment. If you are qualified, we may direct-hire you, reducing the time it takes to get you to work.