What are the responsibilities and job description for the Concurrent Review Nurse position at Actalent?
Actively looking to hire multiple RNs and LPNs to join a growing health care organization to work on post acute care cases! This is a Tuesday to Saturday 11AM - 8PM EST position! This is an URGENT need and will move quickly! Must have experience within discharge planning and utilization review. Start date: November 27th. This role also offers 4x10s working Wednesday to Saturday!
Max Pay for LPNs: $32.00 an hour
Max Pay for RNs: $38.00 an hour
Duties:
- Telephonic position responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities through collaboration.
- Interact with the PAC Medical Director as needed to ensure proper medical necessity decisions are being rendered.
- Partner closely with the PAC Medical Director in care planning and goal setting, reviewing discharge plans and length of stay status to ensure optimal outcomes.
- Act as a clinical resource for unlicensed Post-Acute Care Coordinators, providing clinical expertise and helping to clarify referral source directives. Receive/respond to requests from unlicensed staff regarding scripted clinical questions and issues.
- Act as the primary contact to the post-acute facility or facilities to which they are assigned to obtain all clinical information required and to proactively obtain patient status updates.
- Work alongside the Supervisor, and work closely with Market Engagement Directors to efficiently address potential facility concerns, pushback or gaps in process.
- Communicate customer service/provider issues to supervisor for logging and resolution.
Qualifications:
- Current and unrestricted LPN or RN license
- MINIMUM 2 years clinical experience in a clinical setting
- Experienced in Utilization Management and knowledge of URAC & NCQA standards
- Broad knowledge of health care delivery/managed care regulations and experience with evidence based care guidelines (i.e. MCG/Milliman, Interqual).
- High level clinical knowledge, communication, customer service and problem solving skills, as well as, the ability to effectively interact with all levels of management and a highly diverse clientele.
- Strong organizational skills
- Strong time management skills
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
Actalent is an equal opportunity employer.
About Actalent
Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.
Salary : $32 - $38
