CLINICAL REVIEWER RN jobs in United States
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Integrated Home Care Services, Inc. · 13 hours ago

CLINICAL REVIEWER RN

Integrated Home Care Services, Inc. provides an Integrated Delivery System in the home setting, focusing on high-quality in-home care services. The Clinical Reviewer RN will ensure that home health care services are administered efficiently and in compliance, conducting reviews and audits of patient treatment files.

Health CareHospitalityProfessional Services

Responsibilities

Concurrent review of patient’s clinical information for efficiency
Ongoing review of precertification requests for medical necessity
Coordinates patient care needs with a multi-disciplinary healthcare team
Maintain accurate records of all patient related interactions
Ability to stay organized and interact well with others in any situation
Provide updates to Manager of Utilization Management for review

Qualification

State licensure as RNUtilization Management experienceUtilization Management certificationWord processing skillsSpreadsheet skillsOrganizational skillsInterpersonal skills

Required

State licensure as a LPN or RN
Minimum 2 years of prior experience in Utilization Management
Strong knowledge of word processing and spreadsheet computer programs

Preferred

Utilization Management or Case Management certification

Benefits

Medical, Vision, Dental, Short- and Long-term insurance
6+ Days of Holidays Pay
10+ days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program

Company

Integrated Home Care Services, Inc.

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Integrated Home Care Services (IHCS) delivers value-based home care solutions that help patients, providers, and health plans achieve their care goals in the home.

Funding

Current Stage
Late Stage

Leadership Team

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Jorge A. Pereda
CEO
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Paul Pino
Chief Growth & Analytics Officer - Partner/Co-Founder
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Company data provided by crunchbase