Utilization Review RN

Community Health Network (CHN) has been placing experienced nurses and 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. Community Health Network has been asked to assist a top health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience.

This position is remote based and requires an activeMA RN license. (Compact RN license may be possible for other plans) Working for a health plan the Utilization Review RN will provide a range of utilization management activities for members in an inpatient setting. Candidates MUST have current UM/UR and Inter Qual experience, managed care, and discharge planning experience to be considered.

Utilize industry standards / plan proprietary criteria for determining the appropriateness of the inpatient setting.

• Monday-Friday (some after hours and/ or weekend work may be required)
• 40 hours/week
• Contract
• Competitive payrates
• Full benefits package including health, dental, vision, life and 401K
• Work from home, remote based position

• Flexible work options
• Benefits that include health, dental, vision, life insurance and 401k
• Supportive team focused on your needs and interests