Commercial Solar PV Design Engineer/Project Manager
Majoris Group (Pvt) Ltd
Job type prn
Full job description
Remote – prn position
Health information allianceIs seeking prn, remote utilization management and clinical review rn.
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Role and responsibilities:
Utilization review is a safeguard against unnecessary and inappropriate medical careIt allows healthcare providers to review patient care from perspectives of medical necessity, quality of care, appropriateness of decision-making, place of service, and length of hospital stay.
Ideal candidate must have hospital case management experience and solid utilization review experience applying evidenced based criteria sets along with experience determining level of care and medical necessity
Work collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization
Facilitate patient care through effective utilization and monitoring of healthcare resources
Coordinate care and services through the acute care episode and across the continuum.
Qualification and education requirements:
Graduate of approved accredited nursing program, bsn preferred but not required
Current license to practice as a registered professional nurse
Broad clinical training and work experience sufficient to provide background in clinical management, continuing care and transitions of care
Familiarity with health care insurances and regulations desirable
Demonstrate knowledge of the principles of growth and development over the life span and can identify each patient’s age-specific needs
The ideal candidate must possess the following characteristics:
Commitment and reliability; be able to dedicate consistent time to hia
Superb communication and responsiveness
Must be comfortable with, but not limited to: excel, web-browsers, email, electronic health records (non-specific)
Must be familiar with various technologies such as, but not limited to: security (e.g., citrix), data collection/abstraction, encoders, web-based applications
Self-maintenance of skillset
Staying current with abstraction/coding rules, manuals, and guidelines
Prior experience in position applying for
Motivation; remote work can be team-based, but requires the ability to work independently
Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts
The ideal candidate must possess:
A college degree from
An accredited nursing program,
Cahiim accredited program, or
Other accredited healthcare program
Healthcare credential associated with their program of study
Other healthcare information related abstraction and coding credentials desirable