RN - Utilization Review

Feasterville, PA 19053

Posted: 11/18/2024 Employment Type: Permanent Profession: RN Job Number: 291902 Specialty: Utilization Review

Job Description

Coordinating Benefit Review Nurse (CBRN) 

We are seeking two dedicated Coordinating Benefit Review Nurses (CBRNs) to join our healthcare team in Trevose, PA. This role is part of a pivotal one-year pilot program supporting US Government Civilians under the Japan-based Federal Employee Health Benefit (FEHB) Program Carriers. Your expertise will ensure healthcare services align with insurance policies and industry standards.

Job Details

  • Salary: $85,000 per year
  • Schedule: Monday to Friday, 8 AM - 6 PM ET
  • Employment Type: Permanent, Full-time
  • Location: Trevose, PA (with hybrid options available post-training)

Job Requirements

  • Active Registered Nurse (RN) license
  • Minimum 1 year of experience in a healthcare setting, preferably in Utilization Review
  • Strong knowledge of healthcare insurance policies and medical referrals
  • Excellent communication and collaboration skills

Responsibilities

  • Review healthcare services for US Government Civilians under the FEHB Program
  • Ensure medical care compliance with insurance policies and industry standards
  • Facilitate medical referrals and assist with claims assessments
  • Collaborate with international teams in a dynamic environment

Trevose, PA, offers a blend of suburban tranquility and urban convenience. With easy access to Philadelphia's cultural and historical attractions, this area provides a vibrant community for both work and leisure.

Apply now to join our healthcare team in Trevose, PA, and make a difference in the lives of US Government Civilians.

Benefits

401K with Matching, Healthcare, Dental and Vision

About GHR

With over 30 years of healthcare staffing experience, GHR Healthcare is your trusted partner in finding the perfect contract or permanent role in the healthcare industry. Our specialized teams have placed thousands of healthcare professionals nationwide. You will have a dedicated recruiter, providing access to new opportunities and guidance every step of the way. Whatever your career goals, GHR Healthcare is here to support you and find your perfect fit. Get to know us:www.ghrhealthcare.com

Equal Opportunity

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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About Feasterville, PA

Ready to embark on an exciting career opportunity in Feasterville, Pennsylvania? Join us in uncovering the abundance of job listings in this vibrant community, where career growth and a high quality of life await. Nestled in beautiful Bucks County, Feasterville boasts a charming blend of historic landmarks, picturesque parks like Core Creek Park, and a lively arts scene with galleries like the Bucks County Gallery of Fine Arts. From savoring delectable Pennsylvania Dutch cuisine to catching a show at the historic Bucks County Playhouse or rooting for the Philadelphia Eagles, the opportunities for work-life balance and professional development in this region are endless. Explore our job listings today and discover why Feasterville is the perfect place to advance your career.