RN Inpatient Concurrent Review
HealthCare Support is actively seeking a
RN Inpatient Concurrent Review to fill an opening in
Houston,
Texas. We can consider qualified candidates Remote in Texas.
Daily Responsibilities for RN Inpatient Concurrent Review:
- Maintains knowledge of the designated referral and provider software systems. Verifies member eligibility, benefit coverage and facility contract status prior to processing authorization requests. Accurately enters the required information into the managed care platform, adhering to UM policies and procedures.
- . Assists in discharge planning especially Home Health Nursing requests and DME requests for members at the time of discharge as well as new requests for members who have not had recent hospitalization. Review any requests for extension of these services and if not meeting criteria, refer to the Medical Director.
- Assists in the coordination of care of hospitalized members, medically complex members and members with special needs if applicable. Makes appropriate referrals and follow up to other Community programs/departments.
-
M-F 8 to 5 or Weekends Thurs-Sun 10 hr days 7 am to 5pm or 8-6
Required Qualifications for RN Inpatient Concurrent Review:
- RN, current Texas License
- Three years clinical experience in acute setting. 3 years of UR/UM
- Microsoft Office (Word, Outlook, Excel)
Benefits for RN Inpatient Concurrent Review:
- Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (advocacy) Program
Pay Details: $38 - $42/ Hour
Interested in Being Considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional questions, you may contact us at
[email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
