Registered Nurse

Lancesoft

Remote, MI(remote)

JOB DETAILS
SALARY
$30
SKILLS
Acute Care, Case Management, Clinical Medicine, Discharge Plans, Health Insurance, Healthcare, Home Care, Mail Processing, Managed Care, Nursing, Patient Care, Policy Development, Quality of Care, Registered Nurse (RN), Utilization Management
LOCATION
Remote, MI
POSTED
30+ days ago
Job Description
  • Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length of stay, including appeal requests initiated by providers, facilities and members.
  • Will coordinate care through the health care continuum including member outreach.
  • Provides support and alternative care support for members not appropriate for post-acute care service as well formulate discharge readiness for members transitioning from a post-acute care setting to a lower level of care.
  • Should have experience with InterQual
Requirement:
  • Bachelor’s degree in nursing, allied health, business, or related field preferred.
  • Two to four years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population in the home or post-acute care setting, etc.
  • Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
  • One year health insurance plan experience or managed care environment preferred.
  • Registered Nurse with current unrestricted Michigan Registered Nurse license required.

NIT001

About the Company

L

Lancesoft

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2000
WEBSITE
http://www.lancesoft.com/