
10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
🕒 August 18
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10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
• Manage the intake process for new patients, including receiving referrals from healthcare providers, insurance verification, and scheduling initial assessments • Serve as the primary point of contact for patients, families, healthcare professionals, and referral sources regarding Home Health and/or Hospice services • Ensure accurate and timely documentation of patient information, including medical history, assessments, care plans, and communication with other healthcare providers • Collaborate with interdisciplinary team members to develop individualized care plans based on patients' needs, goals, and preferences • Coordinate services and resources needed to support patients' care plans, such as medical equipment, supplies, therapy services, and community resources • Provide education to patients and families about their condition, treatment options, self-care techniques, and available support services • Monitor patients' progress and response to treatment, reassessing needs as necessary, and adjusting care plans accordingly • Coordinate transitions between care settings, such as hospital discharge to Home Health and/or Hospice services, ensuring continuity of care and smooth transitions • Participate in quality assurance activities, such as audits, reviews, and performance improvement initiatives, to ensure compliance with regulatory standards and quality outcomes • Collaborate with healthcare professionals, including physicians, nurses, therapists, and social workers, to ensure coordinated and comprehensive care for patients
• Associates Degree or Certification in Nursing • Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC) • Two (2) years of Home Health and/or Hospice experience (preferred) • Two (2) years of experience in utilization review/chart audit (preferred) • Bachelor’s degree in nursing (preferred)
Apply Now🕒 August 18
Remote Nurse Reviewer assessing medical necessity and utilization for Gainwell Technologies’ healthcare solutions. Reviewing records, documenting determinations, and supporting prior authorization decisions.
🇺🇸 United States – Remote
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💰 Grant on 2023-06
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
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