Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to $80,000 annually
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including medical, dental, and vision coverage
- Remote work flexibility available
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and outcomes
What to Expect (Job Responsibilities):
- Conduct initial clinical assessments and continued stay assessments using evidence-based criteria
- Collaborate with physicians to obtain necessary documentation to support medical necessity
- Document all actions and activities in the case management software system
- Review denials and coordinate peer-to-peer discussions with physicians
- Communicate effectively with UR Coordinator and facility case managers to ensure collaboration in patient care
What is Required (Qualifications):
- Associates Degree in Nursing
- At least 3 years of previous nursing experience
- Licensed Practical Nurse or Licensed Registered Nurse
- Data entry skills and proficiency in Google Docs, Google Sheets, and email applications
- Ability to perform physical demands outlined in the job description
How to Stand Out (Preferred Qualifications):
- 3 plus years of Utilization review experience
- ACM or CCM Certification
- Experience in healthcare administration or case management
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