RN IP Concurrent Review

• Identifying inpatient, observation, acute rehabilitation, skilled nursing facility and custodial admissions and discharges by utilizing the following processes:

• The Plan’s daily census

• The hospital’s individual Plan admission log (if available)

• Inquiring Plan admissions/discharges through the admission/ER department offices

• Direct notification by the member’s PCP or family member

• Contacting the Plan’s hospitalist program, if available

• RN

• Current, active licensure to practice within the State of Florida

• Concurrent review experience – 2 year minimum experience

• Managed Care experience – 1-2 year minimum experience

• Experience with Medicaid and Medicare

• Practice experience in the areas of ambulatory and hospital care

Hours for this Position:

Hours: 9-6

Advantages of this Opportunity:

• Competitive salary $26 - $33 per hr.

• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO

• Growth potential