Avera Health Plans

Registered Nurse (RN) - Utilization Review

  • Avera Health Plans
  • Sioux Falls, SD
  • Full Time
  • 18 days ago
Salary
$29.5 - $44.25 / Hour

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Job Description

Join the team at Avera!


Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.

Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.


Avera Health Plans is looking for a Registered Nurse (RN) – Utilization Management to join our Team!

Position Highlights:

  • Paid Time Off (PTO) available on Day 1!
  • Options for Free Health Insurance!
  • Positive Work Environment: Be part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.

Job Summary

  • The Utilization Management RN is responsible for authorization processes, coordination of care, and review of outpatient/inpatient care.
  • The Utilization Management RN will evaluate the options and services required to meet the member’s health and psycho-social service needs, discharge planning, in support and collaboration with care coordination and case management programs.
  • The goal of the Utilization Management RN is to make sure the member receives the right care, at the right time, and in the right place.

Education and/or Experience

  • Bachelor’s degree in Nursing is preferred.
  • Registered Nurse with a minimum of five years of professional nursing practice experience in the acute care setting.
  • Managed Care experience in a HMO setting is preferred.
  • Proficient in Microsoft Word, Excel, Access and PowerPoint. Familiarity with data extraction tools is desirable.

Licensure/Certification/Registration

  • Registered Nurse in the state of South Dakota and/or meeting the requirement of Mulit-state licensure.

Work Schedule

  • Monday-Friday, 8:00am-5:00pm; 80hrs/2wks

Pay

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

  • $29.50 - $44.25 per hour

What Makes Avera Special?



Location: Avera Health Plans · AHP Medical Management
Schedule: Full Time, Day Shift, Monday-Friday, 8:00am-5:00pm; 80hrs/2wks

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