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Posted: Thursday, June 29, 2017 7:44 AM

Registered Nurse Concurrent Review

This is not an ordinary mission. At New West Physicians, you will wake up every day excited to improve people’s lives by transforming healthcare. New West Physicians is committed to our purpose of improving patients’ lives by making healthcare work better.

We work with providers to drive meaningful improvement in the way healthcare is delivered. We use our resources to improve quality and ensure our members receive safe, effective care.

Join our team for this exciting full time RN position in our Golden MSO office. Monday-Friday 8:00-5:00.

Our Medical Management team ensures that patients receive the right care at the right time to improve clinical outcomes and lower costs. Our goal is not meant to merely limit or restrict care, but to assure that appropriate care is received.

Position will require reviewing appropriate utilization of medical services by performing concurrent review from admission through discharge of medical episode utilizing appropriate criteria in an effort to reduce readmissions/return visits and provide continuity and quality of care to all patients. Assists with care coordination and discharge planning.

Requirements and Job Duties:

RN with minimum of 3-5 years health care experience in this capacity.
Provide onsite and telephonic concurrent review of all patient hospital and skilled nursing admissions.
Coordinate with hospital staff and physicians for appropriate discharge and discharge planning.
Authorizes healthcare services in compliance with contractual agreements, health plan guidelines and medical necessity criteria.
Maintains proper documentation of the cases reviewed, case management activities, and the rationale for decisions.
Perform other miscellaneous duties as required.

Qualified applicants please send CV to resume@nwphysicians.com

• Location: Denver, Golden

• Post ID: 39691713 denver
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