Job Description

The Restorative Division at The Carpenter Health Networkis hiring a Clinical Nurse Reviewer.

The Clinical Nurse Reviewerwill play an integral role in our team by ensuring care continuity of patients and promoting our care continuum.

An excellent compensation package is being offered to the selected candidate including competitive base salary plus bonus program, health, and dental insurance, accrued PTO, retirement plans (401-k) and an opportunity to grow!

Experience/Skills:

• Hospital/ICU/Rehab (LTAC, In-patient rehab) experience with clinical background as a Registered Nurse
• Strong Clinical Assessment skills
• Ensuring compliance through clinical perspective, expertise, and critical thinking skills
• Capable of achieving results by supervising and participating in admissions intake activity with minimal direction
• Monitoring healthcare documents to ensure compliance before submitting to insurance
• Checking medical records for appropriate criteria and providing proper documentation
• Assisting the director in duties with navigating clinical review, oversite of processes, interviewing/recruiting/hiring, planning and implementing marketing strategies, analyzing marketing trends/changes

Requirements:

• Must live in area and onsite for Monday – Friday position
• Clinical discipline with current license in good standing
• 2 or more years of clinical experience required, Registered Nurse preferred
• Working knowledge of computers and software packages such as Microsoft 365 Office.
• Knowledge of hospital data bases
• Proven ability to work with physicians, social workers, insurance companies, case managers, patients, and families.
• Current valid LA Driver’s License

All inquiries will be kept confidential.

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