New

Clinical Review Nurse - Concurrent Review

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Jan 08, 2025

Title: Clinical Review Nurse - Concurrent Review

Duration: 03 Months (Contract to Hire)

Location: Remote anywhere in US

Shift: Monday - Friday 8-5 PM - any time zone is okay.

Walk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):

Responsible for managing facilities for acute care in patient stays.
Initial reviews, concurrent stay review & discharges (beginning, middle & end)
Being a team player - lots of collaboration
Role is independent but the team works together on many items.
Being able to prioritize tasks.

Required Skills/Experience:		Preferred Skills/ Experience:
1.	acute care experience (ICU, med surg) and compact license.	1.	Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
2.	UM experience - not a dealbreaker, is teachable	2.	Knowledge of Medicare and Medicaid regulations preferred.
3.	Multitasking, organization, fast paced	3.	Knowledge of utilization management processes preferred.
Education Requirement:	Requires Graduate from an Accredited School of Nursing or bachelor's degree in nursing and 2 - 4 years of related experience.	Education Preferred:
Software Skills Required:	TruCare, Interqual (Preferred) - Microsoft Office Platform - EXCEL is helpful as the team does use for daily reporting (general understanding) typing skills