Immediate need for a talented Concurrent Review Nurse - RN. This is a 06+months contract opportunity with long-term potential and is located in San Antonio, TX(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:24-39743
Pay Range: $35 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Responsible for managing facilities for acute care in patient stays.
- Initial reviews, concurrent stay review & discharges (beginning, middle & end)
- Being a team player – lots of collaboration
- Role is independent but the team works together on many items.
- Being able to prioritize tasks.
- Productivity metrics – how many authorizations they complete per day.
- Weighted productivity – credit is given for certain tasks (sending out a denial letter, building an authorization, gathering additional details & information)
- Team does complete audits – may be more relevant when they are converted (meeting criteria, completing authorizations appropriately)
- High pressure turn around times (sometimes they must be able to complete an authorization within 24 hours)
- 4 week training with learning and development – once completed they will be working with the preceptor (no exact timeline, based on individual performance & understanding)
- Will be working within TruCare, Interqual (will be trained on systems)
- IT training
- Compliance training
- Will be assigned a preceptor that will be there to support them through training and ensuring they are on the right path.
Key Requirements and Technology Experience:
- Key Skills:Concurrent Review, Utilization Management, Managed Care and Discharge planning
- Computer Skills- Microsoft, Teams, Zoom
- Good communication skills for clinical rounds
- 2-4 years of hospital, managed care, UM exp
- Knowledge of InterQual reviews.
- Education Requirement: Graduate from an accredited School of Nursing
- Education Preferred: ASN or BSN
- Software Skills Required: Microsoft, basic computer knowledge with electronic medical record programs
- Required Certifications: Registered Nurse - compact
- Required Testing: InterQual Interrater Reliability Testing.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.