Concurrent Review Nurse RN --Remote
Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management.
- Job Location:
- United States
- Company:
- Florida Blue
- Date Posted:
Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management.
Experience Details: Combined experience in utilization management, case management, home health and clinical. Experience with Diamond, Jiva or InterQual.
Periodic kneeling, bending and/or stooping to retrieve or place documents, files and/or boxes on and off lower shelves, drawers or ground level.
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High school diploma or equivalent. Monitoring for and notification of emergent or new prescriptions. Previous experience in primary care or other clinically…
The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health…
Paid company housing (pets are welcome to tag along) or a generous housing stipend. This is a 13-week contract position that requires at least one year of Home…
Active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse.
Reviews data from the medical record to determine or confirm codes. Ability to provide guidance to other departmental staff in identifying and resolving coding…
Demonstrated understanding of maternal and child health measures, special issues and health programs through coursework or job experience.
Full spectrum health, dental and vision. Role will be 90/10 Administrative vs. Clinical (Staffing dependent). Minimum of 5 years of Management experience.