Job summary
Job post source
This job is directly from Integrated Home Care Services, Inc.
Job overview
The Clinical Reviewer RN at Integrated Home Care Services, Inc. ensures quality and cost-efficient home health care services through utilization management and patient treatment review.
Responsibilities and impact
The role involves concurrent review of patient clinical information, ongoing precertification review for medical necessity, coordinating care with a healthcare team, maintaining accurate patient records, and providing updates to management.
Compensation and benefits
The position offers a competitive compensation package including medical, vision, dental insurance, paid holidays and PTO, employer-paid life insurance, 401K with employer contribution, wellness programs, employee recognition, and comprehensive training.
Experience and skills
Candidates must have state licensure as LPN or RN, at least 2 years of utilization management experience, proficiency in word processing and spreadsheets, and preferred certification in Utilization or Case Management.
Work environment and culture
The company values teamwork, high quality care, diversity, and inclusivity, fostering an environment where patients are prioritized.
Company information
Integrated Home Care Services, Inc. is a trusted leader with over 30 years in home health, durable medical equipment, and home infusion services, operating a 24/7 integrated delivery system.
Company overview
Integrated Home Care Services, Inc. specializes in providing comprehensive home healthcare solutions, including skilled nursing, therapy, and medical equipment delivery. They generate revenue through contracts with insurance companies, Medicare, and Medicaid, offering cost-effective alternatives to hospital care. Founded in 2016, the company has rapidly expanded its services across multiple states, focusing on patient-centered care and leveraging technology to improve healthcare outcomes. Their commitment to quality and innovation has positioned them as a leader in the home healthcare industry.
How to land this job
Position your resume to highlight your nursing licensure (RN or LPN) and emphasize your experience in Utilization Management, showcasing your ability to review clinical information for efficiency and medical necessity.
Focus on demonstrating your skills in coordinating patient care with multidisciplinary teams, maintaining accurate records, and your proficiency with word processing and spreadsheet software.
Apply through multiple channels including Integrated Home Care Services, Inc.'s corporate website and LinkedIn to maximize your chances of being noticed for the Clinical Reviewer RN role.
Connect with current employees in the Utilization Management or Nursing divisions at Integrated Home Care Services, Inc. on LinkedIn; use ice breakers like commenting on their patient care initiatives or asking about their experience with the company’s integrated delivery system.
Optimize your resume for ATS by incorporating keywords from the job description such as 'Utilization Management,' 'patient care coordination,' 'clinical review,' 'medical necessity,' and 'multi-disciplinary healthcare team' to ensure it passes initial screenings.
Leverage Jennie Johnson’s Power Apply feature to automate tailoring your resume, identify the best application channels, and find LinkedIn connections to network with, allowing you to focus your energy on preparation and interviews.
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