HireOps
11 - 50 employees
Founded 2021
👥 HR Tech
🎯 Recruiter
☁️ SaaS
HR Tech • Recruitment • SaaS
HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.
Utilization Review Nurse – Contract
Job not on LinkedIn
🕒 June 25
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HireOps
11 - 50 employees
Founded 2021
👥 HR Tech
🎯 Recruiter
☁️ SaaS
HR Tech • Recruitment • SaaS
HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.
📋 Description
• Performing initial, concurrent review activities • Discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services • Serving as liaison between providers and medical and network management divisions • Collecting clinical and non-clinical data • Verifying eligibility • Determining benefit levels in accordance to contract guidelines • Providing information regarding utilization management requirements and operational procedures to members, providers and facilities
🎯 Requirements
• RN working in the insurance or managed care industry using medically accepted criteria • 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company • Knowledge of medical terminology and procedures • Verbal and written communication skills • Utilization management experience (preferred) • MCG or InterQual experience (preferred)
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