• The primary role of the Utilization Review (UR) Nurse is to conduct timely review of service requests to assure that our members receive all appropriate services in compliance with medical and regulatory guidelines.
• In all areas, the UR Nurse is charged with managing the delivery of care in an effective, professional and compassionate manner.
• Collaborate with multiple business parties to ensure timely resolution of service requests.
• Follow Archcare policies and procedures and departmental process. Adhere to business code of conduct.
• Responsibilities include, but are not limited to, review and authorization of service requests.

• Bachelors degree required
• 5 years prior utilization management experience required.
• NYS RN License is required.

Job Type: Full-time

Pay: From $80,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Referral program
• Travel reimbursement
• Vision insurance

Medical specialties:

• Critical & Intensive Care
• Home Health

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Signing bonus

Experience:

• Utilization review: 1 year (Preferred)

License/Certification:

• RN (Preferred)

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