Concurrent Review Care Coordinator (RN) - EviCore - Remote

The Registered Nurse will:


* Perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review.


* Implement, evaluate and coordinate the plan of care for all assigned patients.

Develop care plan and other case management tools by participating in meetings.


* Identify progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers.


* Monitor delivery and utilization of care by completing patient rounds with Medical Directors.

Minimum Education and Licensure:


* Associates Degree or Bachelor Degree in Nursing


* Current unrestricted Registered Nurse licensure in the state of residence


* Multistate license preferred

Minimum Experience Required (number of years necessary to perform role) :


* 2 years of clinical experience in acute care, managed care, ER, ICU, or clinical utilization management


* Home health, SNF, and/or rehab experience desired


* Medicare/Medicaid managed care programs preferred

Qualifications


* Position is remote


* Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST, plus mandatory on-call responsibility after business hours equivalent to approximately two weekends per year.

May require weekend rotation.


* Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing


* Dependable and reliable work schedule is essential

Required Skills:


* Time-management : Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills


* Communication : Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership


* Critical-Thinking/Decision-making : Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities


* Autonomy : Ability to work independently with little to no supervision


* Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred


* Experience using videoconferencing systems such as WebEx

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 27 - 41 USD / hourly, depending on relevan...