RN Concurrent Review Specialist: Care Coordination Leader

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

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.