Healthcare Professional

3 weeks ago


Orange City, Florida, United States Pyramid Consulting Full time

Our client is a leading provider of healthcare services, and we are currently seeking an experienced Care Coordination Specialist to join their team. This contract opportunity offers a competitive salary and the potential for long-term growth.

As a Care Coordination Specialist, you will play a vital role in promoting the quality and cost-effectiveness of medical care by applying clinical acumen and policies. Your primary responsibilities will include reviewing concurrent and continued stay requests, performing medical necessity and level of care reviews, and collaborating with staff within provider networks and discharge planning teams.

The ideal candidate will possess strong clinical knowledge and excellent communication skills. They will also be proficient in utilizing InterQual guidelines and medical management systems. A graduate degree in nursing (ASN or BSN) and 2-4 years of experience in utilization management, case management, or discharge planning are required. Additionally, candidates must have current state RN licensure and knowledge of Microsoft applications, including Teams and Zoom.

This position requires strong organizational and time-management skills, as well as the ability to work independently and collaboratively as part of a team. The successful candidate will be expected to enter and maintain pertinent clinical information in various medical management systems and review an average of 20 cases per day.

In exchange for your expertise, our client offers a competitive salary range of $40-$42 per hour, plus benefits that include health insurance, a 401(k) plan, and paid sick leave. If you are a motivated and detail-oriented professional with a passion for delivering high-quality patient care, this could be the perfect opportunity for you.

Key Responsibilities:

  • Promote the quality and cost-effectiveness of medical care
  • Review concurrent and continued stay requests
  • Perform medical necessity and level of care reviews
  • Collaborate with staff within provider networks and discharge planning teams

Benefits:

  • Competitive salary range of $40-$42 per hour
  • Health insurance
  • 401(k) plan
  • Paid sick leave


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