The job below is no longer available.
You might also like
in Phoenix, AZ
RN Care Coordinator
•30 days ago
Hours | Full-time, Part-time |
---|---|
Location | Phoenix, AZ Phoenix, Arizona |
About this job
Registered Nurse- Care Coordinator!
Key Responsibilities
- Coordinates discharge planning, completes necessary authorizations, and conducts post-service nursing calls.
- Conducts Utilization Management continued stay and inpatient reviews to assess medical necessity.
- Researches and collaborates with appropriate community resources to support discharged beneficiaries.
- Prepares more complex cases for Medical Director and Peer Review. Collaborates with Medical Director on decision-making.
- Utilizes clinical and analytical skills to identify and refers cases to Case Management or Disease Management as appropriate.
- Communicates with providers to develop plan of care.
- Conducts complex authorizations for beneficiaries in acute, residential treatment center, skilled nursing facilities, or long-term acute care hospitals.
- Identifies and reports potential quality or fraudulent cases to Internal Audit & Corporate Compliance department or Clinical Quality Management for review.
- Participates in focus group studies as requested, including the development and implementation steps.
- Supports other regional hubs as needed.
- Regular and reliable attendance is required.
Required Experience
- Registered Nurse, Licensed Clinical Social Worker, or Licensed Clinical Psychologist (Ph.D./Psy.D.) with current unrestricted license in appropriate state
- 2+ years experience in Medical / Surgical clinical nursing or 2+ years Behavioral Health experience in inpatient or outpatient setting
- Proficiency in medical data entry and Microsoft Word
- Exceptional oral communication skills
- 5 years Medical / Surgical clinical nursing or
- Knowledge of Behavioral Health Levels of Care
- 2+ years Managed Care experience
- Knowledge of Intensity of Service and Severity of Illness indexes; InterQual Imaging Criteria, Procedural Criteria, Level of Care, and Length of Stay; International Classification of Diseases; Current Procedural Terminology; and Health Care Financing Administration Common Procedure Coding System; and American Dental coding
Working Conditions
- Monday - Friday schedule, flexible schedule between 6:00am - 8:00pm, including with overtime as required
- Works in a fast-paced production environment
- Ability to meet production requirements on a regular basis
- Extensive computer work with prolonged sitting and wearing of headset
For immediate consideration apply directly to the link provided or email your resume to Arielle Feist.
Contact Info
Arielle Feist
About Aerotek:
Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.