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Registered Nurse (RN) Utilization Management - Full-time

Company: Avera Health Plans
Location: Tea
Posted on: April 2, 2024

Job Description:

Join the team at Avera Health Plans!

Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.

Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.

Avera Health Plans is looking for a Utilization Management RN to join our team!

Position Highlights:

Paid Time Off (PTO) available on Day 1!
Options for Free Health Insurance!

  • Positive Work Environment: Be part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.

    Job Summary

  • The Utilization Management RN is responsible for authorization processes, coordination of care, and review of outpatient/inpatient care.
  • The Utilization Management RN will evaluate the options and services required to meet the member's health and psycho-social service needs, discharge planning, in support and collaboration with care coordination and case management programs.
    The goal of the Utilization Management RN is to make sure the member receives the right care, at the right time, and in the right place.

    Education and/or Experience

    Bachelor's degree in Nursing is preferred.
    Registered Nurse with a minimum of five years of professional nursing practice experience in the acute care setting.
    Managed Care experience in a HMO setting is preferred.
    Proficient in Microsoft Word, Excel, Access and PowerPoint. Familiarity with data extraction tools is desirable.


    Registered Nurse in the state of South Dakota and/or meeting the requirement of Mulit-state licensure.

    Work Schedule

    Monday-Friday, 8:00am-5:00pm; 80hrs/2wks


    The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

    $29.50 - $44.25 per hour

    What Makes Avera Special?

Keywords: Avera Health Plans, Sioux Falls , Registered Nurse (RN) Utilization Management - Full-time, Healthcare , Tea, South Dakota

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