Utilization Review Nurse

Health Care Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including:
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. Health Care Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity
• Perform case reviews and complete all required documentation in appropriate database
• Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner.
• Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend)
• Provide outpatient or pharmacy services utilization review

• 3+ years in recent medical/surgical or critical care experience
• 3+ years of Utilization Review / Case Management experience
• Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions

Hours for this Position:

• M-F 8-5

Advantages of this Opportunity:

• $28.85/hr - $31.25/hrpending experience
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO