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Wollborg Michelson Recruiting: Concurrent Review Rn Or Lvn

Wollborg Michelson Recruiting

This is a Contract position in Monterey Park, CA posted February 2, 2021.

Job DescriptionConcurrent Review RN This is a non-patient facing RN role and is fully remote, working from home for the time being. LVNs may be considered based on experience. Candidates must still be located in California. Our client is a large health plan that was just certified as a Great Place to Work in 2020! Please read the job details below and apply with your updated resume for consideration! Job Details: Daily review and prioritization of work assignments, Clinical documentation using Milliman Care Guidelines to determine medical necessity.Discharge planning for cases that exceed Extension of Authority or dx assigned to admission.Nurse coordinates Care for Lower Level of Care coordination such as Skilled Nursing Facility, Home Health, Home Infusion, Rehab.Ability encompasses broad knowledge of concepts, practices and procedures required within health care field.Uses concepts and abilities as well as internal policies and procedures to complete assignments and solve problemsReviews cases for Continuity of Care and invest/exp requestsSupport to senior/lead CMs as needed.Qualifications: RN is preferred but LVN with experience will be consideredConcurrent Nurse Review experienceKnowledge of Medicare and Medical standards/ guidelinesAbility to work independentlyBasic computer skillsFamiliarity with Word/ Excel/ Outlook/ MCGStrong clinical documentation skillsJob Type: Contract to Possible Hire! Pay: Will be based on experience