MHM Services, Inc.

  • Job Locations US-TN-Nashville
    Posted Date 2 weeks ago(1/7/2020 1:53 PM)
    Job Title
    Utilization Review Nurse
    Job ID
    2019-13468
  • Overview

    Centurion is proud to be the provider of medical services to the Tennessee Department of Correction. 

     

    We are currently seeking a Per Diem Utilization Review Nurse to join our Tennessee Regional Office located in Nashville, Tennessee.

    Available Shift

    Monday-Friday; days--as needed

    Responsibilities

    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.

    About Us

    Centurion contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings. Our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both.

    Qualifications

    • Tennessee 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

     

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