Registered Nurse

Healthcare Support Staffing; Milwaukee (WI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits after 30 days

Job summary

HealthCare Support Staffing, Inc. (HSS) invites an experienced Registered Nurse to join a prestigious healthcare company. The RN will support utilization reviews and clinical competency in acute care settings, with emphasis on improving care quality and cost effectiveness.

No travel required. The position reports to the Nursing leadership and offers a 8:00 am – 5:00 pm schedule, Monday through Friday, onsite in Milwaukee, WI.

Qualifications

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

Responsibilities

• Review charts via faxes/EMR to determine plans of action and keep members out of the hospital.
• Conduct onsite reviews of emergent/urgent and continued stay requests following policies and guidelines.
• Complete medical necessity and level of care reviews using clinical judgment.
• Collaborate with provider networks and discharge planning teams to coordinate member care.
• Conduct discharge planning and educate providers on utilization and medical management processes.
• Enter and maintain clinical information in medical management systems.

Skills

Clinical Nursing

Education

RN license

Tools

EMR/EHR 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

Qualifications

Requirements:

• 3+ years of clinical nursing experience in acute care setting

Additional Information

Hours for this Position: Monday – Friday 8:00 am - 5:00 pm

Advantages of this Opportunity

• Medical benefits go into effect 30 days after start date