RN Concurrent Review

Healthcare Support Staffing; Waltham (MA); On-site; USD 34,095 - 48,560; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Job summary

A leading healthcare staffing firm is seeking an experienced RN Concurrent Review for a prestigious healthcare role in Waltham, Massachusetts. This position involves conducting onsite reviews related to urgent care requests, collaborating with healthcare teams, and providing guidance on medical management processes. The firm offers a competitive hourly rate starting at $30, along with benefits, ensuring a positive work environment. Ideal candidates must have over 2 years of clinical nursing experience and a capacity for concurrent review.

Qualifications

• Candidates must possess a car due to location.
• Minimum of 2 years of clinical nursing experience required.
• Experience in concurrent review or discharge planning preferred.

Responsibilities

• Perform onsite review of emergent/urgent care requests.
• Complete medical necessity and level of care reviews.
• Collaborate with provider networks to coordinate member care.
• Educate providers on utilization processes.
• Act as a clinical resource for non-clinical staff.
• Maintain clinical information in medical management systems.

Skills

Clinical judgment

Collaboration with care teams

Education in medical management processes

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 RN Concurrent Review 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!

Daily Responsibilities:

• 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
• 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

Hours for this Position:

• Pay rate starts at $30 per hour

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Qualifications

• Candidates must have a car- mass transportation in Boston doesn’t go to Waltham
• 2+ years of clinical nursing experience
• Some sort of concurrent review experience or discharge planning from either another managed care company or clinical setting

Additional Information

Interested in being considered?

If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I’m Interested Button to email your resume.