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RN Care Review Clinician(Behavioral Health)

Med National Staffing Inc. Louisville, KY
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

 

We are looking for a RN Care Review Clinician  in Louisville, KY. For these positions you must have an active Kentucky/Compact unrestricted license to qualify for these positions. You must be located in Kentucky or cities neighboring the state border to qualify for these positions. These are full time remote positions!

Job Duties: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.

Required Experience: Minimum 2 years of Behavioral Health or Substance Abuse experience required. Preferably hospital nursing Utilization Management experience is a plus.


Required Licensure/Certification: Active, unrestricted State Nursing RN license in good standing.

For immediate consideration please email sroper@mednationalstaffing.com.

Company Description
Using the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest.

Since our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.

Med National Staffing Inc.

Using the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest. Since our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.

Address

Louisville, KY
USA

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