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We are looking for Nurses!

At Catalyst Pain Solutions, we’re pioneering a total approach to health and wellness, focusing on innovative and non-invasive procedures. Our staff are central to turning our member’s health ambitions, big and small, into achievements. Your role will include helping members stay well, manage health conditions, and access the right care at the right time. As you do this, we’ll support you in achieving more in your life and your work.

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Success Profile

What makes a successful nurse? Here are the traits we are looking for:
Collaborative
Deadline-oriented
Organized
Problem Solver
Results Driven
Technology Savvy
Adaptable
Compassionate
Detail Oriented
Flexible
Good Listener
Open Minded
Responsible
Team Player
Willing To Learn

Job Details

POSITION SUMMARY
This position is with Catalyst Pain Solutions. The Nurse position utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. The hours for this position are 8:00AM-5PM MST. 

Fundamental components include but are not limited to:
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment. Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management.

BACKGROUND/EXPERIENCE
-Active, unrestricted Registered Nurse (RN) License required
-3+ years of clinical experience required 
-Utilization Management (UM) experience required
-Managed Care experience preferred 
-Exemplary clinical documentation skills; critical thinking skills 
-Must be able to demonstrate computer proficiency skills and work independently as a self starter in a fast paced production and metrics driven environment

EDUCATION
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is required

FUNCTIONAL EXPERIENCES
Functional - Clinical / Medical/Precertification/1-3 Years
Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years
Functional - Nursing/Medical-Surgical Care/4-6 Years

TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals/ADVANCED
General Business/Applying Reasoned Judgment/ADVANCED
Technology/Leveraging Technology/FOUNDATION

DESIRED SKILLS
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
General Business/Turning Data into Information/FOUNDATION

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