Remote RN Utilization Review Analyst- 32597385 - Generous Compensation

Duties: JOB SUMMARY I Title: Care Coordinator - CCR Telephonic II. Department Name and Number: Post Acute Care III. Reports to: Manager, Sr. Manager or Director, PAC IV. Summary: The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review. The Registered Nurse is responsible for the implementation, evaluation and coordination of the plan of care for all assigned patients. Develops care plan and other case management tools by participating in meetings. Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers. Monitors delivery and utilization of care by completing patient rounds with Medical Directors.V. Minimum Education, Licensure and Professional Certification requirement: Current unrestricted Registered Nurse VI. Minimum Experience required (number of years necessary to perform role): Minimum 5 years clinical experience with at least 3 years managed care experience ? 2 – 4 years' experience in utilization management required. ? Home health, SNF, and/or rehab experience desired ? Medicare/Medicaid managed care programs preferred VII. Status Full time, remote ? Position is full-time during core business hours with the ability to work any shift between 7am and 7pm CST, Dependable and reliable work schedule is essential ? VII. Required Skills: ? Time-management: Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills ? Communication: Ability to provide clear verbal and written information via email, and phone to customers, co-workers, and leadership ? Critical-Thinking/Decision-making: Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities ? Autonomy: Ability to work independently with little to no supervision ? Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with ability to type 30 wpm preferred ? Experience using videoconferencing systems such as WebEx
Knowledge in Microsoft Excel (office)
Flexibility
Reliable Internet Access/ HIPPA complaint Room
Must have a RN degree
Minimum 5 years clinical experience with at least 3 years managed care experience2 – 4 years' experience in utilization management required. This is a remote WFH position.