The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and guidelines as well as facility policy.
This position is a remote position. However, you must live within the county you are assigned to work... This position is for New Castle County, DE. You must live within New Castle County to be considered for the position.
Minimum Requirements:
- Current license for the state in which the nurse practices if nursing licensure is required by contract
- A Bachelor’s Degree in Nursing or at least two years’ experience in Utilization Review preferred
- Certification in Utilization Review or Utilization Management preferred
- Experience with Microsoft Office Suite and the ability to learn new information systems and software programs
- General knowledge of managed care delivery system
- Current CPR if applicable
- TB questionnaire, PPD or chest x-ray if applicable
- Current Health certificate (per contract or state regulation)
- Must meet all federal, state and local requirements
- Must be at least 18 years of age
- Remote Position - Must live within county you are working (New Castle County, DE)
- 6 weeks of training on technology and instruments
- Schedule Mon-Friday 40 hours a week
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.