Home Health Care Coordinator - EviCore - Work at Home

The Registered Nurse will perform medical necessity reviews for Initial and Concurrent authorization requests for Home Health services.

Responsibilities include but are not limited to:


* Medical Necessity Review for Initial and Concurrent Review authorization requests.


* Development, evaluation and coordination of an individualized plan of care for each patient.


* Monitor progress toward desired care outcomes; review the care plan in conjunction with the direct care providers.


* Facilitate a timely and safe discharge.

Minimum Education and Licensure Requirement:


* Current unrestricted Registered Nurse licensure.


* Associate degree or Bachelor Degree in Nursing preferred.


* Multistate license preferred.

Must hold license in state of residence.

Minimum Experience required


* Minimum 2 years clinical experience.


* Acute care, Home Health, SNF and/orRehab experience desired.


* Medicare/Medicaid managed care knowledge preferred.


* The position is telephonic/Work at Home.



* Hours: Monday - Friday; 8a-5p in current time zone; Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST.


* Availability for weekend rotation, on-call rotation, and holiday rotation required.


* The 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.


* Ability to perform 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 developing 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 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 30 - 50 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure.

That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your wh...