RN Concurrent Review Nurse

Company: Healthcare Support
Location: Tacoma
Posted on: January 12, 2021

Job Description:

Summary: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emerge Are you an experienced Concurrent Review Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!Daily Responsibilities: * Concurrent review from top to bottom.* Inpatient medical necessity reviews for authorization.* Medical records reviewing for discharge planning (DCP), may include telephonic outreach to facility or member for further DCP.Requirements: * Registered Nurse License in Washington* Utilization Management experience highly preferred. If no true Utilization Review/Concurrent Review experience, good inpatient experience in Med-Surg, ICU, Burns, Cardiac* Diverse background in acute hospital is helpfulHours for this Position:Flexible: M-F, T-Sa or Sun-Thu 7-6 (Can discuss) - must be flexible to weekends and holidays.Advantages of this Opportunity: * Competitive salary, negotiable based on relevant experience* Benefits offered, Medical, Dental, and Vision* Fun and positive work environmentInterested in being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration.mvargas@healthcaresupport.comHealthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.t/urgent and continued stay reviews.Job Responsibilities: 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 requiredEducation/Experience: Graduate from an Accredited School of Nursing. Bachelors degree in Nursing preferred Current states LPN/LVN or RN license.2-4 years of experience

Keywords: Healthcare Support, Tacoma , RN Concurrent Review Nurse, Other , Tacoma, Washington