Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to $80,000 per year
- Opportunity for career advancement and professional growth within the organization
- Comprehensive benefits package including health insurance and retirement plans
- Flexibility to work remotely
- 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
- Coordinate Peer to Peer discussions for concurrent denials
- Communicate effectively with insurance providers and case managers for reviews and authorizations
What is Required (Qualifications):
- Associates Degree in Nursing
- At least 3 years of previous psych nursing experience
- Licensed Practical Nurse or Licensed Registered Nurse
- Data entry skills and proficiency in Google Docs, Google Sheets, and email applications
- Ability to prioritize assignments and demonstrate effective time-management skills
How to Stand Out (Preferred Qualifications):
- 3 plus years of Utilization review experience
- ACM or CCM Certification
- Basic knowledge of clinical and psychosocial aspects of patient care
- Detail-oriented, flexible, and committed to patient advocacy
- Excellent verbal and written communication skills
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