BCVS Group

Validate medical necessity and appropriateness of treatment plans using accepted criteria in insurance or managed care. | Must have 2 years utilization review experience, 1 year inpatient hospital/ER experience, and an active IL RN license. | Position:- RN Utilization Review/Management Rate:- $40/hr. Location:- 100% Remote in IL Description: RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. Required Qualification(s): • RN with IL Active License, must have Utilization experience, familiar with MCG and ASAM criteria. Preferred Qualification(s): • Prefer inpatient hospital experience/ER Job Type: Contract Pay: From $40.00 per hour Expected hours: 40 per week Benefits: • Referral program Experience: • Utilization Review/Management: 2 years (Required) • inpatient hospital experience/ER: 1 year (Required) License/Certification: • IL License (Required) Work Location: Remote