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Utilization/Concurrent Review Nurse – Remote in NM – Contract

HireOps Staffing LLC

New Mexico, United States Full-time in Healthcare & Medical
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    • Job ID 2018289

    Job Description

    This position is remote, however, you must reside in the State of New Mexico.

    This position is a contract for about 6 months. The pay is $40/hour.

    RN or LPN. No travel. Remote position. Work week is Monday-Saturday, working rotating Saturdays. Looking for clinical knowledge, computer skills, team oriented. Of course, would like local agency if possible for possible in person meetings in the future, but not a deal breaker.

    pay rate is $40/hour

    This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.

    JOB REQUIREMENTS:
    – Register Nurse (RN) or Licensed Practical Nurse (LPN) with current, valid, unrestricted license in state of operations or reciprocity.
    – 3 years of clinical experience
    – Experience utilizing various software packages.
    – Verbal and written communication skills
    – Analytical skills
    – Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

    PREFERRED JOB REQUIREMENTS:
    – Familiarity with UM/CM activities and standardized criteria set.
    – Knowledge of ancillary services including HHC, SNF, Hospice, etc.

    Training is completed through WebEx precepting. Worker should be able to hit the ground running.

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