Florida Blue
Part Time Concurrent Review Nurse RN – Remote 16 hours a week
This job is now closed
Job Description
- Req#: 33480
Employer Industry: Healthcare Insurance
Why Consider this Job Opportunity:
- Salary up to $110,600
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package, including medical, dental, vision, and life insurance
- Retirement savings plan with employer contribution and match
- Paid time off, volunteer time off, and 11 holidays
- Comprehensive wellness program
What to Expect (Job Responsibilities):
- Perform medical reviews using established criteria to ensure appropriate levels of care for members
- Build relationships with facility case managers to facilitate care and discharge planning
- Identify appropriate care programs for members to ensure smooth transitions and decrease readmissions
- Serve as a point of contact for providers, educating them about benefits and network access
- Evaluate members in various healthcare settings for benefit determination and medical necessity
What is Required (Qualifications):
- 2+ years of related work experience or equivalent combination of experience and education
- Recent clinical experience in a hospital, LTAC, rehab, or SNF setting
- Current RN licensure in Florida or compact state licensure
- Experience in home health care, rehab, SNF, utilization review, discharge planning, or case management
- Knowledge of the healthcare industry and managed care
How to Stand Out (Preferred Qualifications):
- Experience with InterQual
Hashtags:
#HealthcareInsurance #RNJobs #CareerOpportunity #CompetitivePay #BenefitsPackage
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Explore our medical, dental, and Medicare health care plans.
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