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Company Name : EdiPhy Advisors
Location : Texas
Position : Utilization Review Nurse Weekdays Afternoons Evenings F-T
Job Description : Remote RN Utilization Review Nurse Job Description–Full-Time Weekdays afternoon M-F 8 hour shifts beginning at 11 am or later All Times CentralAre you an experienced utilization review nurse ready to showcase your clinical knowledge with a cohesive team of medical, administrative and IT experts? EdiPhy Advisors LLC, a nationwide provider of highly customized physician advisor services, is expanding our licensed Clinical Care Coordinator team.EdiPhy Advisors is a URAC-accredited provider, demonstrating excellence in compliance for more than 20 years. Our Birmingham, Alabama offices are located in Liberty Park’s award-winning Urban Center, conveniently located off I-459.Requirements:· Expert level use of InterQual guidelines– test required;· Case management experience preferred;· 3-5 years clinical experience as an RN in a critical care environment is required. Med/surg preferred;· Strong clinical skills and knowledge, and the ability to recognize when quality issues exist;· Outstanding computer, interpersonal, and organizational skills;· Proficiency in written and verbal communication;· Great problem-solving expertise and enthusiasm for analyzing complex situations;Recruiting from the following geographic areas: Alabama, Georgia, Tennessee, Oklahoma, Mississippi, North Carolina, South Carolina, Florida Panhandle Essential Duties and Responsibilities Include: Our nurses work with a strong group of board certified practicing physicians, skilled administrators and a state-of-the-art technical staff to review medical records and advise on things like level of care, medical necessity, services needed, outcomes evaluations and clinical audits. They communicate every day in a complex, time-sensitive manner to assure that quality, cost-effective health care is provided in the most appropriate setting.EdiPhy Advisors provided the following inclusive hiring information: We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.Job Type: Full-timeBenefits:401(k)401(k) matchingDental insuranceFlexible spending accountHealth insuranceLife insurancePaid time offVision insuranceSchedule:8 hour shiftMonday to FridayEducation:Associate (Required)Experience:Utilization Review: 1 year (Required)InterQual: 1 year (Required)License/Certification:RN License (Required)Work Location: Remote
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