Travel Nurse RN - Utilization Review - $50 to $52 per hour in Atlanta, GA
Registered Nurse (RN) | Utilization Review
Location: Atlanta, GA
Agency: Compunnel Healthcare
Pay: $50 to $52 per hour
Shift Information: 5 days x 8 hours
Contract Duration: 13 Weeks
Start Date: ASAP
About the Position
Job Title: Registered Nurse (RN) – Utilization Review (UR)
Facility: Kaiser Permanente – Regional Office, Atlanta, GA
Location: 9 Piedmont Center, 3495 Piedmont Rd NE, Atlanta, GA 30305
Shift: 8:00 AM – 5:00 PM
Role Responsibilities:
Perform medical necessity reviews for outpatient services using MCG guidelines , KP criteria , and LCD criteria .
Refer cases to the Medical Director for potential denials when criteria are not met.
Float to other departments if needed.
Required Qualifications:
Active Georgia RN License
BLS certification
1 year recent experience (within the last 3 years)
Graduate of an accredited nursing program
Preferred Qualifications:
BSN preferred
Previous insurance or utilization review experience preferred
Additional Details:
Business Unit: Sr Operations Director, Continuum of Care
Time Sheet Type: Standard (Weekly)
Labor Type: Healthcare
Winter Plan Need: No
Travel: 0% (Local role)
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