Job Title: RN - Utilization Review
Assignment Length: 13 weeks with possible extension
Location: Syracuse, NY
Shift: Days (8:00-16:30)
Pay Rate: $65/hour
Job Summary:
- Responsible for performing mix of Admission, Continued Stay, and Discharge reviews for diverse patient populations at a minimum volume of 25 reviews per day. Population to include Medical, Surgical, and Behavioral Health admissions for pediatric through adult population.
- Reviews will encompass Inpatient, Outpatient, Observation, and Emergency level of care for Medicare, Managed Medicare, Medicaid, Managed Medicaid, Commercial, Workers’ Compensation, and No Fault
- Nurses are responsible for ensuring correct order and class alignment in Epic throughout the duration of each patient stay.
Experience:
- Prior experience in a Utilization Review position required with established proficiency
- Preferred Experience: With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, Utilization management or utilization review, and interfacing with health care payers/regulatory agencies.
- Acute care/hospital-based Utilization Review experience preferred
Technical Proficiency
- Epic Electronic Health Record (EHR) experience required
- InterQual first-level screening experience required
- Experience with payer portals required
- Microsoft Suite – Teams, SharePoint, Outlook, Excel – experience required
Job Requirements:
- Active, unrestricted New York State (NYS) Registered Nurse (RN) license required
- Current BLS/CPR Certification
Who We Are?
Since 2001, InfiCare has been providing contract and direct hire staffing services to its clients across the US. InfiCare Health awarded the Gold Seal Accreditation from The Joint Commission.
Reference links below are company websites:
https://inficarehealth.com/press-releases/
https://www.greatplacetowork.com/certified-company/7037388
https://www.inc.com/profile/inficare
#IND1
Job Type: Contract
Pay: $65.00 per hour
Experience:
- Epic: 1 year (Required)
- Utilization Review: 1 year (Required)
- Acute care/hospital-based: 1 year (Preferred)
License/Certification:
- BLS Certification (Required)
- RN License in NY (Required)
Work Location: In person
