This is a full-time permanent opportunity for a national managed care company, which allows a nurse leader for more growth opportunities. We are looking for highly skilled, self-motivated, registered nurses (RN) who can provide support to the quality control and bill reviews. This nurse will be responsible for itemized bill review, clinical outpatient and DRG review.

Requirements:

• Must maintain a current RN licensure in the state of employment


• Medical bill auditing


• Acute care clinical nursing experience


• Knowledge of worker's compensation claims process


• Prospective, concurrent and retrospective utilization review


• 3+ years hospital bill auditing experience

Benefits:

• Competitive Salary


• Health, dental, vision and life insurance


• Paid time off, including vacation and sick time.


• A 401K retirement plan.

Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer.