Healthcare Consultant

3 weeks ago


Canton, Massachusetts, United States US Tech Solutions, Inc. Full time

We are seeking an experienced Nurse Clinician to join our team at US Tech Solutions, Inc.. As a Nurse Clinician, you will be responsible for providing clinically appropriate and cost-effective utilization management and discharge planning for members across multiple inpatient settings.

About the Role:
  • Perform clinical assessments and determine medical necessity and benefit coverage for various lines of business.
  • Collaborate with providers to facilitate timely transitions of care.
  • Manage multiple service reimbursement models, including DRG, case rate, and per diem.

The salary for this position is approximately $100,000-$130,000 per year, depending on location and experience. A Registered Nurse (RN) with a current, unrestricted MA license; BSN preferred. A minimum 3 years of clinical nursing experience and 3 years of utilization management experience are required.



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