Utilization Review Registered Nurse

In the rapidly-changing, highly regulated industry that is healthcare, you need a medical staffing partner who works for you. Enter TotalMed. We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions no matter how complex your needs. But even more than that, we’re a team who really cares. Our end goal is to achieve quality patient care while enhancing your employee morale. If you’re a healthcare professional in either clinical or non-clinical healthcare, our recruiters can help you navigate the sea of healthcare jobs, uncovering your ideal career path. Or, if you’re faced with open positions and short-staffed projects in either business care or patient care, TotalMed can provide customized medical staffing solutions to fulfill your hiring requirements.

Pay: $40.00-$42.00 per hour Hours: Monday-Friday 8 am-5 pm Location: Remote *Must live in Minnesota OR Wisconsin*

Utilization Management Nurse-Post Acute, are responsible for reviewing and documenting prior authorization and concurrent stay requests along with member case history in compliance with policies and procedures, clinical criteria (MCG) and member coverage. Utilization review activities require interfacing with members, providers, facilities, medical directors, intake staff, case managers and other departments internally. This role requires attention to detail and the use of clinical judgment to determine the medical necessity of post-acute stays, including skilled nursing facility, acute inpatient rehabilitation, and long-term acute care hospitals