Practical Nursing Specialist

2 weeks ago


Lake Wales, Florida, United States TotalMed Staffing Full time
Practical Nursing Specialist - Health Plan

About this Role

As a Practical Nursing Specialist, your primary responsibility involves evaluating patient requirements, formulating care strategies, coordinating healthcare services, advocating for patient needs, and delivering education and support.

You will frequently act as a bridge between healthcare professionals, insurance providers, and community resources to enhance patient outcomes and guarantee seamless care throughout the healthcare process.

Practical Nursing Specialists also play a crucial role in effectively managing healthcare expenses and resources.


Job Details

Compensation: $27.00 / hour

Profession:
Practical Nursing Specialist

Facility Type:
???

Specialty:
Health Plan

Division:
TotalMed Staffing

Key Responsibilities

1. Maintain precise and current medical documentation, recording patient evaluations, care actions, medications given, and other pertinent details.

2. Engage in quality enhancement initiatives aimed at improving care delivery, boosting patient outcomes, and ensuring adherence to quality benchmarks.

3. Conduct medical necessity and level of care assessments for requested services utilizing clinical judgment and refer to Medical Directors for evaluation.

4. Provide clinical expertise and serve as a clinical resource for non-clinical team members.

5. Collaborate with various personnel within provider networks and discharge planning teams to coordinate member care.

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