Nurse Reviewer II Position

3 weeks ago


Columbus, Ohio, United States Health Services Advisory Group Full time
Job Title: Nurse Reviewer II

Health Services Advisory Group (HSAG) is seeking a skilled Nurse Reviewer II to join our team in Honolulu, Hawaii. As a key member of our team, you will play a critical role in transforming the delivery of healthcare in the United States.

Job Summary:

The Nurse Reviewer II is responsible for coordinating and conducting various review activities as defined by HSAG's contract with the State of Hawaii, Department of Human Services MedQUEST Division (DHS/MQD). This includes long-term care level of care (LTC LOC) evaluations and determinations, Preadmission Screening and Resident Review (PASRR) compliance audits, and peer review of quality of care (QOC) concerns.

Key Responsibilities:
  • Independently conduct LTC LOC determinations and PASRR reviews within established DHS/MQD timelines, maintaining 90% accuracy overall.
  • Use appropriate, established screening criteria to each LTC LOC determination, maintaining 90% accuracy overall.
  • Use critical thinking skills and professional judgment to identify potential utilization and QOC concerns, clearly communicating case referrals to DHS/MQD RN consultant.
  • Communicate with Medicaid beneficiaries and applicants, physicians, administrators, and other professional staff on case review processes, case determinations, and report findings.
  • Conduct training and educational seminars to educate providers and beneficiaries on Medicaid requirements as they relate to review/oversight activities, providing technical assistance to DHS/MQD, QUEST integrated health plans, and providers/facilities.
  • Answer phone calls, feedback requests for assistance with HILOC application, ePASRR application, and clinical questions.
Requirements:
  • Bachelor's degree in nursing is required.
  • Must hold an active, unencumbered RN license in the State of Hawaii.
  • Must have at least three years of clinical nursing experience. Acute care and/or long-term care experience preferred.
  • Knowledge of the Hawaii healthcare delivery system and Medicaid programs is preferred.
What We Offer:

HSAG offers a competitive salary range of $95,000 - $100,000 DOE, a dynamic work environment, and opportunities for professional growth and development.



  • Columbus, Ohio, United States Macon County Inc Full time

    Job Title: Public Health Nurse IIJoin Macon County Inc as a Public Health Nurse II and contribute to the delivery of high-quality healthcare services in our community.Job Summary:We are seeking a skilled and dedicated Public Health Nurse II to join our team. As a Public Health Nurse II, you will be responsible for partnering with other school nurses to...


  • Columbus, Ohio, United States AirNet II Full time

    Job DescriptionAirNet II, a leading aviation company, seeks a skilled Aircraft Records Specialist to maintain accurate and up-to-date records of aircraft, engines, and components. The ideal candidate will have a strong background in aviation and experience with records management.Key Responsibilities:Maintain records of aircraft, engines, and components in...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Job Title: Travel Nurse RN PositionAbout the Position:We are seeking a qualified Neuroscience ICU registered nurse to provide care to critically ill patients with or without multisystems dysfunction. The successful candidate will provide close observation using state-of-the-art monitoring equipment and mechanical ventilation.Responsibilities:Provide...


  • Columbus, Ohio, United States CHA Consulting, Inc. Full time

    Job Title: Resident Engineer IICHA Consulting, Inc. is seeking a highly skilled Resident Engineer II to join our Infrastructure - Construction Inspection Team in Columbus, OH.About the Role:The Resident Engineer II will oversee construction inspection activities, coordinate large construction projects, and maintain project documentation and records. This...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    About the PositionCoast Medical Service, a nationwide travel nursing & allied healthcare staffing agency, is seeking a qualified Operating Room RN in Columbus, Ohio. As a travel nurse, you will have the opportunity to work with a top-class facility and receive a competitive pay rate of $2,197 per week.About Coast Medical ServiceEstablished in 1979, Coast...


  • Columbus, Ohio, United States Nationwide Children's Hospital Full time

    Job Title: Respiratory Care Assistant IIWe are seeking a highly skilled and dedicated Respiratory Care Assistant II to join our team at Nationwide Children's Hospital. As a Respiratory Care Assistant II, you will play a vital role in providing high-quality patient care and contributing to the success of our Respiratory Therapy department.Job Summary:The...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Travel Nurse RN Job OpportunityWe are working with Coast Medical Service to find a qualified Stepdown RN in Columbus, Ohio.Pay Information: $2,305 per weekAbout the Position: Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for experienced or first-time...


  • Columbus, Ohio, United States Franklin County Public Health Full time

    Job SummaryWe are seeking a dedicated and compassionate Public Health Nurse I/II to join our team at Franklin County Public Health. As a key member of our Immunization and School Health program, you will play a vital role in providing high-quality, equitable preventative services to individuals, families, and populations.Key ResponsibilitiesImplement and...


  • Columbus, Ohio, United States Franklin County Public Health Full time

    Why Work at Franklin County Public Health?We value our employees and recognize their worth through competitive pay and a comprehensive benefit package. As a public service agency, we strive to create a diverse and inclusive workforce. Our FCPH value statement emphasizes our commitment to serving our communities, organization, and each other with integrity,...


  • Columbus, Ohio, United States Franklin County Public Health Full time

    Why Work at Franklin County Public Health?We value our employees and recognize their worth through competitive pay and an excellent benefit package for staff and their families. As a public service agency, we strive to create a diverse and inclusive workforce.Our organization is guided by the following values: Integrity, Accountability, Excellence, Respect,...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    About The PositionAn Oncology Registered Nurse (RN) is a specialist in the healthcare field that administers care and support for patients undergoing cancer treatments.Key Responsibilities:Administer care and support for patients undergoing cancer treatmentsWork as an integral part of the multidisciplinary staffEducate patients and families about tests,...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Travel Nursing Opportunity with Coast Medical ServiceWe are working with Coast Medical Service to find a qualified Stepdown RN in Columbus, Ohio. This travel nursing opportunity offers a competitive pay rate of $2,431 per week.About the PositionCoast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Travel Nurse Source is seeking a qualified Telemetry RN in a dynamic medical setting. Pay Information: $2,377 per week. About The Position: The Telemetry Nurse assumes primary care responsibilities, promoting health, preventing illness, restoring health, and easing suffering for patients released from intensive care. The nurse carries out patient assignments...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Travel Nurse RN Job OpportunityWe are working with Coast Medical Service to find a qualified Operating Room RN in Columbus, Ohio.Pay Information: $2,197 per weekAbout the Position: Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for experienced or first-time...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Travel Nurse Source is working with Amare Medical Network to find a qualified Telemetry RN in a telemetry unit. Pay Information: $2,377 per week. About The Position: The Telemetry Nurse carries out patient assignments and assumes primary care responsibilities that promote health, prevent illness, restore health, and ease suffering for patients released from...


  • Columbus, Ohio, United States Franklin County Public Health Full time

    Job SummaryWe are seeking a dedicated and compassionate Public Health Nurse I/II to join our team at Franklin County Public Health. As a key member of our Maternal and Child Health department, you will work directly with at-risk populations, promoting health and well-being through prevention, education, and case management.Key ResponsibilitiesProvide case...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    At Travel Nurse Source, we are working with Amare Medical Network to find a qualified Telemetry RN in a dynamic environment. About The PositionThe Telemetry Nurse carries out patient assignments and assumes primary care responsibilities that promote health, prevent illness, restore health, and ease suffering for patients released from intensive care, but...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    Job Title: Stepdown RNJob Summary: We are seeking a qualified Stepdown RN to join our team at Amare Medical Network. As a Stepdown RN, you will provide patient care in transitional units where patients are too sick for the med-surg floor but not sick enough for intensive care.Responsibilities:Provide patient care in transitional unitsWork in an environment...


  • Columbus, Ohio, United States Travel Nurse Source Full time

    About the Position:A Cardiovascular Operating Room Nurse (CVOR) is responsible for planning, executing, directing and evaluating direct and indirect nursing care given to the surgical patients who undergo cardiac surgery. The nursing activities may include preoperative, intra-operative and postoperative care. The CVOR Nurse will work closely with the...

  • Public Health Nurse II

    2 months ago


    Columbus, Ohio, United States Macon County Inc Full time

    {"Job Title": "Public Health Nurse II", "Job Summary": "We are seeking a highly skilled Public Health Nurse II to join our team at Macon County Inc. As a Public Health Nurse II, you will play a critical role in delivering school health services to assigned schools. Your expertise will be essential in ensuring the health and well-being of students, while also...