Aerotek Utilization Management Nurse in Des Moines, Iowa
- Utilization Management Nurse
- Monday-Friday 8am-5pm
Associate's or Bachelor's degree in Nursing
Must have an active State RN License
4+ years of diverse clinical experience with direct clinical care to the consumer
Will provide service and support to members and health care providers- including pre-service reviews, out of network referrals and support
Will be working primary on prior authorizations specifically with Diagnostic Images
Utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, medical criteria (InterQual) and benefit information
Provide consultation and responses to utilization management requests
May complete medical reviews any apply utilization review criteria for patient admissions and various levels of care, continued stay reviews, and/or discharge planning
All reviews will be done in the component content management system but could interact directly with providers via email or phone for clinical or urgent denial requests
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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