Dean’s Professional Services is seeking a Concurrent Review Nurse to work for a large comprehensive, integrated level one acute care hospital in the El Paso area. Qualified candidates will have at least 2 years of clinical nursing experience in an acute setting. CALL Shawntel Broadus at 1(800)-805-9318!
Dean's Professional Services is a national, award-winning, staffing, staff development and consulting company. We are a solution-based staffing partnership that provides temporary, temporary to hire, and direct hire staffing services to our clients.
P osition Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews.
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care
Conduct discharge planning
Educate providers on utilization and medical management processes
Provide clinical knowledge and act as a clinical resource to non-clinical team staff
Enter and maintain pertinent clinical information in various medical management systems
Direct care to participating network providers
Participate in utilization management committees and work on special projects related to utilization management as needed