Attends physician/ hospital appointments. Reliable transportation and local travel required. Must be a Registered Nurse with current unrestricted CA RN license. 3 to 5 years clinical nursing experience. Strong technology, organizational and documentation skills are a must.
Contact physicians as needed to clarify current and future abilities. Assist disabled employees in returning to work with their own or other employers. Qualifications Include: Must be able to travel 10% Master's degree in Counseling and CRC designation required.
A revenue management company has an open position for a Telecommute Physician Advisory Services Utilization Review Specialist. Individual must be able to fulfill the following responsibilities: Performing initial admission and continued stay reviews.
An insurance company is in need of a Telecommute Long Term Care Nurse Practitioner Physician Assistant in the Milwaukee Area. Core Responsibilities of this position include: Collaborating with primary care physicians, facility staff and patients' families.
Assessing the participant, and working with the participant, family and physician to identify problems. Providing utilization review/pre-certification or pre-notifications on various individuals. Assessing and documenting clinical and behavioral outcomes.
Must be able to: Provide physician review services for utilization management, case management, and quality management. Develop maintain and assure compliance with physician review policies and procedures for utilization management.
Participating in telephonic discussions with emergency department physicians. Reviewing electronic medical records of emergency department admissions. Entering clinical review information into system for transmission to insurance companies. Required Skills:
Excellent and proven ability to communicate, problem-solve, and negotiate. Proven ability to work successfully within multidisciplinary teams as well as independently. Able to resolve difficult clinical and social issues with patients, patients families and physicians efficiently and effectively.