Job description
Brief Company Intro
United Health System is a well known provider for healthcare services within United States.
United Health System has always strived to be Customer-oriented, Compassionate, Candid and Compliant. We are committed for your success. You can count on us!
We believe in working as a team with persistent stress on excelled deliverance. Our underlined principle is that honest and sincere disposition pays off. In continuous quest to be the best for both our clients and our employees we work with simple strategies that produce best results
Role Description
Recording and monitoring a patient's vital signs. Promoting well-being by educating patients on self-care techniques. Consulting with doctors and other medical staff to determine the optimal treatment plan. Administering over-the-counter and non-intravenous medications
Registered Nurse - Utilization Review Responsibilities
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Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations. Accurately inputs information into Medical Record System to ensure authorizations are complete. Error or omissions here may result in loss of payment. Collaborates with the payor source and the primary clinician/treatment team and refers clients to appropriate level of care, based on symptomatology and benefit structure. Ensures client admission, continued stay, and discharge meet the criteria of the program. Communicates with referral sources to determine benefits and pre-certify admissions. Maintains records and prepares statistical reports as assigned. Enters data into business software and other business systems as required. Assists with process of appeals as directed by the Manager - Utilization Review. Performs other duties as assigned.
Registered Nurse Requirements
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Bachelor degree or master degree in nursing. American Heart Association BLS/CPR Ability to effectively communicate with patients, families, physicians and hospital staff. Basic computer skills. Professional, friendly attitude. Experience in Utilization Review or Case Management
Document Requirements
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Active CT RN license required AHA BLS required
Working Hours
Mon - Fri 8am to 430pm.
Salary
$1700 - $1900 (open)
Location:
Wethersfield, CT 06109 for training. Then REMOTE.
Benefits
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Benefits - Medical, Dental, VSP (as per company policy) CEU Credits Travel Perks Retirement Plan eligibility PTO eligibility
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