• Utilization Review RN - Contract Opportunity

    Amergis (Cambridge, MA)


    Salary: $3627 / Week

     

    Utilization Review RN – Contract Opportunity

     

    Start Date: ASAP

     

    Duration: 13 weeks (with likelihood of extension)

     

    Shift: Monday-Friday, 8:30a-5p

     

    Misc: Local Candidates Only. No block-schedules.

     

    Pay Rate: Up to $3,000.00/Wk.

    About the Role:

    Amergis HealthcareStaffing is seeking an experienced Utilization Review RN to join acollaborative team focused on ensuring patients receive medically necessary,cost-effective care. This role combines clinical expertise with administrativeresponsibilities, working closely with providers, insurance companies, and careteams to optimize resource utilization and patient outcomes.

    Key Responsibilities:

    + Review and analyze medical records to assess medical necessity and appropriateness of treatments.

    + Conduct prospective, concurrent, and retrospective utilization reviews.

    + Collaborate with physicians, case managers, and insurance providers to coordinate care and obtain pre-authorizations.

    + Ensure compliance with pay guidelines, regulatory standards, and facility policies.

    + Document all utilization review activities accurately in EMR systems.

    + Participate in quality improvement initiatives and discharge planning.

    + Educate patients and families on care plans and available resources.

    Qualifications:

    + AHA BLS certification required.

    + Minimum 1-2 years of experience.

    + Must have acute care experience.

    + EPIC experience is highly preferred.

    + Flu vaccine required during season.

    + Must work every other major holiday.

     

    Why Join Us?

     

    This is an excellentopportunity to work with a respected healthcare system, gain exposure todiverse patient populations, and enhance your clinical expertise in asupportive environment.

     

    Interested?

     

    Brian Abdou, SeniorStaffing Recruiter

     

    Call or Text: (781)400-7115

     

    Email:[email protected]

     

    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.