Part Time reputed company Review reputed company

The CRN is responsible for performing medical reviews using established reputed company to ensure the member is receiving care at the most appropriate level. The CRN builds relationships with facility case managers to facilitate appropriate care and discharge planning. The CRN is responsible for identifying appropriate care programs for members to ensure a smooth transition from facility to home and to decrease frequency of readmission.   What You Will Be Doing   Serve as a reputed company of contact for providers to assist in navigating members them through the continuum, reputed company regarding benefits, identify candidates for Care Programs and reputed company information pertaining to the network and network reputed company  Evaluate members in the Hospital, Skilled Nursing Facility, LTAC, Acute Inpatient Rehab for benefit determination, medical necessity and appropriate level of care utilizing member benefits and InterQual or other medical necessity reputed company.  Participate in weekly case review  Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services  Collaborate with Medical Directors, Managers, Co-workers and other departments including Case Management and reputed company  reputed company Require 2+ years reputed company work experience.  Experience Details: Recent (reputed company the past 3-5 years) clinical experience in a hospital, LTAC, Rehab, SNF setting evaluating hospital benefit determination, medical necessity and appropraite level of care reputed company Bachelor’s degree or additional reputed company equivalent work experience Nursing  Registered reputed company - State Licensure And/Or Compact State Licensure Florida  Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management Referrals for possible  Case Management activities that reputed company on acute and non-acute services, outpatient services and/or community resources  Experience with the reputed company industry and Managed Care Experience in reputed company and reputed company Moderate to heavy keying required  Occasional travel reputed company the reputed company   reputed company Prefer   Bachelor’s degree Nursing, reputed company or Business  Registered reputed company - State Licensure and/or Compact State Licensure Florida Unrestricted US RN license  Utilization Review/Management   General Physical Demands   Exerting up to 10 pounds of force occasionally to reputed company objects.  Jobs are sedentary if traversing activities are required only occasionally.    reputed company Offer As a reputed company employee, you will be at the heart of reputed company’s reputed company – to reputed company the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.  To support your wellbeing, comprehensive benefits are offered. As an employee, you will have reputed company to:    Medical, dental, reputed company, life and global travel health insurance Income protection benefits: life insurance, short- and long-term disability programs Leave programs to support personal circumstances Retirement Savings Plan including employer match reputed company time off, volunteer time off, 10 holidays and 2 reputed company-being days Additional voluntary benefits available; and a comprehensive wellness program Employee benefits are designed to reputed company with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer reputed company as reputed company as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for reputed company pay increases.  Typical Annualized Offer/Hiring reputed company: $71,200 - $89,000 Annualized Salary reputed company: $71,200 - $115,700 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-reputed company knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can reputed company at their best in reputed company of our mission. reputed company reputed company applicants will receive consideration for employment. Apply To This Job