JOB REQUIREMENTS: Clinical Reviewer AK LinkedIn Twitter Email Message
Share Category Care Management Job Location Remote Tracking Code 134806
Industry Select Industry Job Level Mid Career Position Type
Full-Time/Regular Years of Experience Not Applicable Comagine Health is
looking for a remote RN Clinical Reviewer to support our growing team.
This role will support a variety of patient populations across the
organization, providing utilization management and care planning as
needed. Who is Comagine Health? Comagine Health is a national,
nonprofit, health care consulting firm. We work collaboratively with
patients, providers, payers, and other stakeholders to reimagine,
redesign and implement sustainable improvements in the health care
system. As a trusted, neutral party, we work in our communities to
address key, complex health, and health care delivery problems. In all
our engagements and initiatives, we draw upon our expertise in quality
improvement, care management, health information technology, analytics,
and research. We invite our partners and communities to work with us to
improve health and redesign the health care delivery system. Some of
what you\'ll be doing for us: Participate in a multi-disciplinary team
to improve the quality of healthcare for individuals and populations.
Apply nationally-recognized clinical criteria and guidelines to
determine the medical necessity of inpatient admissions, outpatient
procedures, and other healthcare services. Consult with physicians or
refer cases to others, when indicated. Competencies: Professional
curiosity and lifelong learner mindset\--we cover many contracts with
this team and there is always something new! Excellent written and oral
communication Ability to document critical thinking and develop
questions for providers regarding decision-making and plan of care
Strong MS Office Suite proficiency and familiarity with database
software programs Strong organizational skills Excellent interpersonal
and problem-solving skills Ability to organize and coordinate multiple
simultaneous tasks in a team environment Required Qualifications: A
degree or diploma in nursing. Current, active, unrestricted RN licensure
in good standing. 3 years of clinical (direct patient care) work
experience that includes critical care, ED, and/or intensive care.
Desired Qualifications 1+ years of utilization review (or other medical
management experience) Salary Range: \$80,,000 - \$100,000 The salary
range posted reflects the range that Comagine is willing to pay for this
position. Salary is determined by many factors, including but not
limited to\... For full info follow application link. Equal Employment
Opportunity Employment Comagine Health is an Equal Employment
Opportunity/Affirmative Action Employer that embraces and practices
diversity, reflecting the communities we serve. We encourage minorities,
protected veterans and individuals with disabilities to apply.
\*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/79CA5069527D4DFD
