Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits Job at Lancesoft INC, Las Vegas, NV

  • Lancesoft INC
  • Las Vegas, NV

Job Description

Job Description

Job Description

The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels of care, efficient resource utilization, and compliance with third-party payer requirements. This position involves reviewing medical records, assessing clinical documentation, and collaborating with case management teams to support quality standards and regulatory compliance within an acute care setting.


Responsibilities

  • Review patient admissions for medical necessity and payer compliance
  • Evaluate clinical documentation to ensure appropriate resource utilization
  • Collaborate with case management and discharge planning teams
  • Utilize InterQual and Milliman criteria during utilization review processes
  • Accurately document findings and communicate review determinations
  • Maintain current knowledge of regulatory and compliance standards
  • Support clinical documentation improvement initiatives

Compensation

  • Sign-On Bonus up to $15,000
  • Pay Range: $43 – $63/hr

Required Qualifications

  • Graduate of an accredited nursing program
  • Minimum 5 years of acute care clinical nursing experience, including at least 1 year in Utilization Management, Case Management, or Clinical Documentation Improvement
  • Active Nevada RN license required
  • Minimum 3 years of Utilization Management experience
  • Minimum 3 years of discharge planning experience in an acute care setting
  • Recent hands-on experience with InterQual and ability to successfully pass the InterQual exam
  • Recent experience utilizing Milliman criteria required

\nCompany Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

Job Tags

Relocation package

Similar Jobs

Sandbank Construction, Inc.

Construction Estimator Job at Sandbank Construction, Inc.

 ...Job Description Job Description Sandbank Construction Inc. is a growing general engineering and construction company specializing in residential and commercial projects throughout the Bay Area. Our core services include demolition, excavation, concrete, structural... 

Lift Bridge Brewery

Brewer Job at Lift Bridge Brewery

 ...Lift Bridge Brewery Production Team Member Lift Bridge Brewery is a leading production brewery located in the birthplace of Minnesota, Stillwater. Lift Bridge produces a wide range of beverages such as beer, soda, seltzers, FMBs, THC beverages, mocktails, and adaptogen... 

Ohio State University

Anesthesiologist Assistant Job at Ohio State University

 ...Anesthesiologist Assistant Specialty Care | Health System Anesthesiology Services Scope of Position The Ohio State University Medical Center is committed to enhancing the quality of care our patients receive. The AA functions as an integral member of the patient... 

Charleston Oral and Facial Surgery

Dental Lab Technician Job at Charleston Oral and Facial Surgery

 ...Job Description Job Description Description: We are seeking a detail-oriented and motivated Dental Lab Technician to join our team. This role is designed to support the Lab Manager in ensuring efficient operations, smooth case management, and clear communication... 

Eastern Air Lines

Flight Attendant - Eastern Air Express AZA, ELP and MIA Job at Eastern Air Lines

 ...Flight Attendant Position Eastern Air Express Flight Attendants are expected to maintain the ability to exhibit the values and culture of the company, while working with other team members and customers in a fast-paced/dynamic environment. The successful candidate...