TacomaRecruiter
the smart solution for Tacoma jobs

Concurrent Review Nurse I

Company: Centene Corporation
Location: Tacoma
Posted on: March 16, 2019

Job Description:

Description:Position Purpose\: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care Conduct discharge planning Educate providers on utilization and medical management processes Provide clinical knowledge and act as a clinical resource to non-clinical team staff Enter and maintain pertinent clinical information in various medical management systems--??For New Hampshire and Massachusetts - home visits requiredQualification:Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews.Education/Experience\: Graduate from an Accredited School of Nursing. Bachelor--??s degree in Nursing preferred. 2+ years of clinical nursing experience. Acute care experience preferred Knowledge of healthcare and managed care preferred.Licenses/Certifications\: Current state--??s LPN/LVN or RN license. For New Hampshire Healthy Families\:- Candidates with an active nursing license in good standing in other states than NH, must obtain the NH equivalent within 90 days of hire. Active driver--??s license in good standing preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Tacoma , Concurrent Review Nurse I, Healthcare , Tacoma, Washington

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Medical Director - Psychiatry
Description: Administrative/CEO opening in Olympia, Washington. This and other physician jobs brought to you by DocCafe.com OPEN POSITION: br - Medical Director, Psychiatry br - 70 Clinical, 30 Administrative (more...)
Company: CHS Recruiting
Location: Olympia
Posted on: 03/25/2019

Washington State Outpatient Psychiatry Locums Need! (Physician #)
Description: Adult Outpatient Psychiatry Need in Washington: Washington State is seeking locums coverage for adult outpatient coverage as soon as possible. There is no call, so you'll have time on the weekends
Company: Medical Doctor Associates
Location: Olympia
Posted on: 03/25/2019

Travel RN-ER job in Washington
Description: RNnetwork has an excellent travel nurse opportunity in Olympia, WA. This is a Emergency Room position, and the covering nurse will provide
Company: RNnetwork
Location: Olympia
Posted on: 03/25/2019


Occupational therapist travel & locum school ot olympia
Description: Are you looking for a new
Company: a & t healthcare llc
Location: Olympia
Posted on: 03/25/2019

General Dentist Position one hour from Olympia, WA - PERM JOB (Dentist
Description: General Dentistry opening in Olympia, Washington. About the AREA: Located in Southwest Washington About the GROUP: One
Company: Columbia Healthcare
Location: Olympia
Posted on: 03/25/2019

Physical Therapist $2k Referral Split - Travel Job in Olympia, WA
Description: Provide expert therapy to patients with injuries and/or illnesses to help them improve movement, manage pain, and/or prevent the loss of mobility at state-of-the-art facilities across the U.S. Partner (more...)
Company: Jackson Therapy Partners
Location: Olympia
Posted on: 03/25/2019

Urologist Need in Washington
Description: Urology opening in Olympia, Washington. This and other physician jobs brought to you by DocCafe.com Client is seeking a BC/BE urologist to join our team. ul li 1:4 call li Recent 20 Million OR (more...)
Company: Continuum Medical Staffing
Location: Olympia
Posted on: 03/25/2019

SICU RN Surgical Intensive Care Travel (Olympia,WA)
Description: SICU RN, Surgical Intensive Care UnitTravel Registered Nurse Jobs Assignments Looking for a SICU travel assignment You are in the right place, the HCEN Network of staffing agencies have numerous assignments (more...)
Company: HealthCare Traveler Jobs
Location: Olympia
Posted on: 03/25/2019

Travel Locum Speech Language Pathologist (SLP) (Lacey)
Description: Nationwide Travel Locum Therapist Jobs - Speech Language Pathologist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient, (more...)
Company: HealthCare Traveler Jobs
Location: Lacey
Posted on: 03/25/2019

RN - Registered Nurse Emergency Room
Description: ul br li Location: Olympia, WA br li Setting:
Company: Ardor Health Solutions
Location: Olympia
Posted on: 03/25/2019

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Tacoma RSS job feeds