Utilization Review RN - Per Diem

Utilization Review RN – Per Diem
Carson Valley Medical Center – Gardnerville, Nevada – Douglas County

We strive to provide our patients with a superior healthcare experience, with a focus on the quality of care, patient safety, human interaction, and communication. Carson Valley Medical Center ranks number one in patient satisfaction among all full-service hospitals in our region, a direct result of the CVMC team’s dedication and commitment to providing patient centered care.

*
POSITION SUMMARY*
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement.

• A Bachelor's Degree in Nursing preferred; three (3) years of clinical care or nursing experience; OR an equivalent combination of education and experience AND (2) two years’ experience Utilization Review.
• Certification in Utilization Review or Utilization Management is preferred.
• Must be licensed as a Registered Nurse by the State of Nevada, and remain active with all annual licensing requirements.
• Knowledge of InterQual criteria.
• Knowledge in conducting and reviewing medical record for medical necessity.
• Knowledge of basic ICD-10, CPT coding knowledge.
• Knowledge of regulations as set forth by The Centers for Medicare Medicaid Services.
• Skill in operating a personal computer utilizing a variety of software applications.
• Strong written and oral communication skills

Join a highly talented family of healthcare workers in a rural Sierra Nevada gem of a community located 30 minutes from Lake Tahoe and an hour from Reno. Carson Valley Medical Center, a preferred employer within the communities of Minden and Gardnerville, ranks No. 1 in patient satisfaction among all full-service hospitals in our region, a direct result of the CVMC team’s dedication and commitment to providing patient-centered care.

_
Thank you for your interest in working for Carson Valley Medical Center. We appreciate your time and review each and every resume that is submitted to our HR department. You will receive an email within 24 hours that confirms your application has been received._

Job Type: Full-time