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Location

Jefferson City, MO | United States

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Job description

Job Details

Job Location
MO, Jefferson City - Missouri Regional Office - JEFFERSON CITY, MO

Position Type
Per Diem

Education Level
Associate's Degree

Travel Percentage
None

Job Shift
As Needed

Job Category
Nursing Professional & Support

Description

Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Department of Corrections.

We are currently seeking a PRN Utilization Review Nurse to join our Missouri Regional Office Team located in Jefferson, Missouri.

The Utilization (UM) Nurse performs the review of requests for prior authorization of medical services, including diagnostic, outpatient care and services using defined criteria. Duties will include admissions though on-site and telephonic review to ensure medical necessity and appropriate level of care, review and audit of patient medical records as indicated to determine medical necessity, and serving as a clinical resource and liaison for site and hospital referral staff.

Qualifications

• MIssouri RN license or ability to obtain license
• Utilization management experience, InterQual experience preferred
• Two (2) years of clinical nursing experience and one year of experience in performing prior authorization review
• Experience using medical management software programs
• Experience working with a correctional institution or agency preferred
• Must be able to pass background investigation and obtain agency security clearance

PRN

We offer excellent compensation and comprehensive benefits for our full-time team members including:

• Health, dental, vision, disability and life insurance
• 401(k) with company match
• Generous paid time off
• Paid holidays
• Flexible Spending Account
• Continuing Education benefits
• Much more...

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Job tags

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Salary