Clinical Review Nurse - Concurrent Review NICU

Company: Home State Health Plan | Location: Remote-IL | Employment: Full-time | License: Multiple | State licensure: Nevada

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Key Details: There are 3 positions available; remote/work from home. The work schedule is Monday - Friday 8am - 5pm based on the time zone in which you reside (prefer applicants reside in either central or eastern time zones). These positions require: Minimum 3 years of level III or IV NICU experience. NICU certification is helpful. Compact RN licensure is preferred with the ability to achieve licensures in non-compact states (cost