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Responsibilities:
- Perform concurrent review using InterQual criteria for admission, continued stay, and transition.
- Communicate clinical rationale to attending physicians and care teams.
- Maintain documentation, adhere to regulations, and meet review deadlines.
Qualifications:
- RN graduate from accredited school, BSN preferred.
- Current, active unrestricted RN license in US.
- 2 years acute care experience required; utilization management experience preferred.
Schedule:
- 7AM – 5PM PST/9AM – 7PM CST Monday-Friday.
- Flexibility for weekends or alternative hours based on business needs.
Benefits:
- Medical, dental, and vision insurance.
- Paid time off, holidays, and sick leave.
- 401(k) with company match and Employee Assistance Program.
Wns Healthhelp
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations serving over 700 clients across 10 industries. With over 66,000 employees across 13 countries and 65 delivery centers, the company combines scale and expertise to create meaningful impact.