NextGen MedStaff has completely replaced the nuisance of recruiting with the travel industry's first, two-way, real-time smartphone application. The savings we see by eliminating the outdated “recruiter model” are passed along to the traveler, allowing us the ability to pay our travelers substantially more than any other agency.
Don't worry... we haven't replaced customer service with a mobile app! Far from it! We've elevated the service you receive from your own individual team once you've used our app to find your perfectly matched assignment.
```Duties``` - Conduct Utilization Reviews of medical records to determine the medical necessity and appropriateness of healthcare services - Collaborate with healthcare providers to gather necessary information for review - Evaluate medical records and documentation to ensure compliance with regulatory guidelines and standards - Analyze patient data, including medical history, treatment plans, and progress notes - Utilize knowledge of medical coding and billing practices to ensure accurate reimbursement - Assess the effectiveness and efficiency of healthcare services provided - Identify opportunities for improvement in patient care and resource utilization - Communicate findings and recommendations to healthcare providers, insurance companies, and other stakeholders ```Experience``` - Minimum of 2 years of experience in a medical office or clinical setting - Strong background in patient care and documentation review - Familiarity with primary care, Medicare, and pediatric healthcare services - Knowledge of ICD-9 coding system and utilization management principles - Experience working with nursing home or long-term care facilities is a plus As a Utilization Review Nurse, you will play a crucial role in ensuring the quality and appropriateness of healthcare services provided to patients. You will be responsible for conducting thorough reviews of medical records, collaborating with healthcare providers, and evaluating the effectiveness of treatment plans. Your expertise in medical coding, documentation review, and utilization management will be essential in optimizing patient care and resource utilization. We offer competitive compensation packages and comprehensive benefits for our employees. Join our team today and make a difference in the lives of patients while advancing your career in healthcare. Please note that only qualified candidates will be contacted for further consideration. Thank you for your interest in this position.
Job Types: Contract, Temporary
Pay: Up to $2,738.42 per week
Benefits:
- Dental insurance
- Health insurance
- Travel reimbursement
- Vision insurance
Healthcare setting:
- Hospital
Schedule:
- 8 hour shift
Experience:
- Hospital: 2 years (Required)
Work Location: In person