…customer service, multi-tasking and organizational skills Prefer utilization review experience and managed care experience. Monday - Friday (8am - 5pm) -

Prepares and processes all managed care referral paperwork. Gathers pertinent information from physicians, nurse practitioners and nursing staff to complete

Utilization Review RN with our large managed care client base in their Mason OH office Responsible for collaborating with healthcare providers and members to

…necessity of inpatient and outpatient admissions Accurately interpreting benefits and managed care products, and steering members to appropriate providers,

…contractual compliance for the QI program. This includes managing the HEDIS and Managed Care Accountability Set (MCAS) audit and initiatives to improve health

…Master's Degree, Care Senior Associate, Insurance, Insurance Company, Managed Care , Healthcare Professional, Healthcare Admin, Healthcare Jobs, Medical

…RN, Nurse Coordinator, Care Coordinator, Nurse Case Coordinator, Case Coordinator, RN, Managed Care Coordinator, Utilization Review, Managed Care ,

…years clinical practice experience or certification in case management Knowledge of managed care preferred. Must have excellent communication skills, effective

…Current/Active Texas Nursing License Minimum of 1 year related work experience. ( Managed Care and/or hospital setting.) Substantial knowledge of Microsoft Office

…Jobs, Interqual, Case Manager, Case Management, Utilization Review, UR, Utilization, Insurance Jobs, Managed Care Why Kelly(R)? As a worker today, it's up to