Utilization Review/Case Management RN

Winchester, MA

Posted: 09/12/2019 Employment Type: Temp/Contract Job Number: 81
Community Health Network (CHN) has been placing experienced nurses and physical therapists in home care, hospice, and case management for over 30 years. We offer flexible work options and outside of the box opportunities that focus on your needs and interests.   Contract position for an experienced Utilization Review/Case Manager RN with a Medical Center in the Winchester/Lexington MA area. The UR/CM RN by utilizing the concepts of utilization review, clinical documentation improvement and revenue integrity will analyze medical documentation to ensure proper reimbursement will be achieved in coordination with the intensity of medical care provided.





Must have 2-5 years inpatient UR/CM experience

Knowledge of payment methodologies as well as federal and state regulations

Requires active MA Registered Nurse License

Bachelor's Degree (Preferred)

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