Accede Solutions Inc (accedesolution.com)
Accede Solutions is a Women- and Minority-Owned staffing firm specializing in Healthcare, Life Sciences, and IT workforce solutions. With a human-centric yet AI-powered approach, we provide top-tier talent while ensuring speed, quality, and compliance.
We are hiring an experienced RN for a Utilization Review role .This is a 13-week contract, fully remote, supporting multiple facilities and working in Pacific Standard Time.
3+ years acute care UM/Care Manager experience in a hospital setting. Seasoned traveler (required). InterQual & Epic experience (Hardstop). Active CA RN license. Required Details Shift: Days, 5x8 (8 AMā4:30 PM) Contract: 13 weeks, remote Location: Apple Valley, CA (PST schedule) Weekends: Minimum 4 per contract
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Perform utilization review, concurrent and retrospective reviews. Assess medical necessity using InterQual (required). Complete prior authorizations, admission reviews, denials, and audits. Document reviews in Epic (recent experience required). Ensure compliance with CMS, Medicare, and regulatory guidelines.
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Basic
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$34
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$79
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