You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Reviewer (Registered Nurse) to oversee care plans for home care patients, utilizing Interqual for private duty nursing assessments. This role involves conducting annual reviews of long-term care assessments to adjust service hours for enrollees and participating actively in team rounds in a collaborative environment.
Key Responsibilities
- Reviewing care plans for home care patients.
- Utilizing Interqual for private duty nursing assessments.
- Conducting annual reviews of long-term care assessments to adjust service hours for enrollees.
- Participating in team rounds, demonstrating strong communication skills.
Qualifications
- Registered Nurse (RN) certification, with ability to be licensed in District of Columbia. This can be an LPN, BSN, or ASN.
- Proficiency in computer use.
- Experience with Electronic Medical Records (EMRs), specifically "Guiding Care".
- Must have Interqual experience.
- BSN is preferred.
- Health plan / MCO experience is preferred.
Experience
- Minimum of two years of UM nursing experience.
Skills
- Proficiency in computer use.
- Experience with Electronic Medical Records (EMRs), specifically "Guiding Care".
- Strong communication skills for team collaboration.
Education
- Registered Nurse (RN) - can be LPN, BSN, ASN (needs to be a registered nurse).
Additional Requirements
This position requires a hybrid work model, with four days a week in-person and one remote day, with the flexibility to choose the remote day.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
Our client is an equal opportunity employer and values diversity. All employment decisions are made on the basis of qualifications, merit, and business need.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
