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Clinical Reviewer RN

1 month ago

Rockford, Illinois, United States Hines & Associates Inc Full time
About Us

Hines & Associates Inc. is a nationwide leader in personalized managed healthcare, dedicated to delivering comprehensive services with excellence and cost containment. With over three decades of experience, we have established a reputation for innovative and professional healthcare solutions.

What We Offer
  • Competitive salary and benefits package, including medical, dental, vision, and life insurance.
  • 401k plan with company match and vesting after one year.
  • Flexible work arrangements, including remote and hybrid settings.
  • Opportunities for professional growth and development.
Job Summary

We are seeking a skilled Clinical Reviewer RN to join our team. As a Clinical Reviewer RN, you will utilize your clinical knowledge and communication skills to review patient information and determine the appropriateness of treatment plans. This role requires a strong understanding of healthcare regulations, policies, and procedures.

Responsibilities
  • Conduct thorough reviews of patient information to determine the appropriateness of treatment plans.
  • Communicate effectively with healthcare providers, patients, and family members.
  • Develop and maintain knowledge of healthcare regulations, policies, and procedures.
  • Collaborate with multidisciplinary teams to ensure high-quality patient care.
Requirements
  • Current, unrestricted RN license in the state of employment.
  • Minimum of three years of acute clinical practice experience.
  • Successful completion of UR nurse orientation program.
  • Excellent communication and interpersonal skills.
What We Value

We value diversity, equity, and inclusion in our workplace. We are committed to providing a safe and respectful environment for all employees and patients. We welcome applicants from diverse backgrounds and perspectives.