Registered Nurse

Healthcare Support Staffing

Milwaukee (WI)

On-site

USD 65,000 - 85,000

Full time

14 days+

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Benefits offered by this job

Medical benefits after 30 days

Job summary

A leading healthcare staffing firm is seeking an experienced Registered Nurse to promote quality medical care by applying clinical judgment in urgent and continued stay reviews. Responsibilities include reviewing charts, onsite reviews, and collaborating with other healthcare staff to ensure appropriate care. The successful candidate must have over 3 years of clinical nursing experience in an acute care setting. This position offers medical benefits after 30 days and operates Monday to Friday, 8:00 am - 5:00 pm.

Qualifications

3+ years of clinical nursing experience in an acute care setting.

Responsibilities

Review charts through faxes or EMR and determine plans of action.
Perform onsite review of emergent/urgent and continued stay requests.
Complete medical necessity and level of care reviews for requested services.

Skills

Clinical nursing experience

Knowledge of medical management processes

Discharge planning

Tools

EMR systems

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced 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!

Position Purpose

Registered Nurse will 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.

Daily Responsibilities

Registered Nurse will be reviewing charts through faxes or EMR and determining plans of action. They will apply their clinical knowledge to determine the appropriate measures are being taken to keep members out of the hospital. No travel involved!!
Registered Nurse will 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
Registered Nurse will 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
Direct care to participating network providers
Participate in utilization management committees and work on special projects related to utilization management as needed