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Adecco US, Inc. Utilization Manager Needed in Dallas, TX in Dallas, Texas

We are now in search of a dynamic Utilization Management Nurse for a Direct Hire role with our esteemed client in Dallas, Texas.

Experience:

  • Mandatory five years of inpatient clinical nursing experience within an acute care hospital setting.

  • Minimum of two years' experience in Utilization Management within an acute care setting.

  • Proficiency with drafting and submitting reconsiderations and appeals to Medicare for a minimum of one year.

  • Ideally, a minimum of two years' experience with InterQual or Milliman in an acute care setting.

  • Bilingual proficiency is highly desirable.

Key Highlights:

  • Competitive salary range of $80,000 to $90,000 per annum.

  • Monday to Friday schedule, with flexible start and end times (7a-3p, 8-4, or 9-5).

  • Responsibilities include administrative and financial oversight for patient stays, with a strong background in Medicare.

  • Proficiency in analyzing denial reports and identifying trends to proactively prevent denials.

  • Lead UR Committee meetings, with frequency determined by physician schedules.

  • Comprehensive benefits package:

  • Medical coverage designed to mitigate financial impact for employees and eligible family members.

  • Robust dental plan covering implants and child orthodontia, emphasizing preventative care.

  • Health Spending Account (HSA) contributions to offset individual/family deductibles.

  • Life and Accidental Death & Dismemberment Insurance benefits.

  • Supplemental Life Insurance and Short-term & Long-term Disability options.

  • Accidental Injury & Critical Illness coverage.

  • Retirement savings plan including 401(k) and Roth IRA with a generous employer match.

  • Paid Time Off and an Employee Illness Bank for additional leave.

  • Additional benefits: Tuition reimbursement, free continuing education, parking, employee health visits, life assistance program, credit union membership, and fitness program.

Top 3 Must-Have Qualifications:

  1. Telephonic experience.

  2. Exceptional customer-service skills.

  3. Experience in an acute-care setting.

Pay Details: $80,000.00 to $90,000.00 per year

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adeccousa.com/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.

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