Nurse Coordinator for Physician Review - Entry Level

Description

 Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! 

ABOUT US:

Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.

WHAT WE OFFER:

• Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, company paid and voluntary life insurance.  Critical Illness, accident insurance and flexible spending also available!
• 401k plan with company match, fully vested after 1 year.
• No weekends and nights!
• Paid Holidays
• Work-life balance.
• Remote/hybrid setting (once trained)

In this role you will work collaboratively with our Utilization Review RNs, Case Managers, and Physician Reviewers as you assist with processing cases through the physician review process.

You will be responsible for assigning cases to the appropriate physician specialty for review, quality assurance of final physician reports to ensure the final determination rationale from the physician is supported by the patient’s records provided, and that the rationale is supported by appropriate evidence-based literature.

You will also be responsible to notify the assigned UR or CM nurse of the determination for processing on their end and ensuring the physician review is completed within the appropriate timeframe.

PM21

Requirements

· Active IL RN license

· Experience working in acute care clinical setting.

· Ability to effectively communicate.

· Ability to type at least 35 WPM.