Posted 132 months ago
RN IP Concurrent Review
AI Summary
Registered Nurse performing concurrent review of inpatient, observation, and rehabilitation admissions/discharges for health plans in Florida.
About this role
RN IP Concurrent Review
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
• Identifying inpatient, observation, acute rehabilitation, skilled nursing facility and custodial admissions and discharges by utilizing the following processes:
• The Plan’s daily census
• The hospital’s individual Plan admission log (if available)
• Inquiring Plan admissions/discharges through the admission/ER department offices
• Direct notification by the member’s PCP or family member
• Contacting the Plan’s hospitalist program, if available
Qualifications
• RN
• Current, active licensure to practice within the State of Florida
• Concurrent review experience – 2 year minimum experience
• Managed Care experience – 1-2 year minimum experience
• Experience with Medicaid and Medicare
• Practice experience in the areas of ambulatory and hospital care
Additional Information
Hours for this Position:
Hours: 9-6
Advantages of this Opportunity:
• Competitive salary $26 - $33 per hr.
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential