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Registered Nurse

Integrated Resources, Inc

Wall Township, New Jersey

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JOB DETAILS
JOB TYPE
Contractor
SKILLS
Biology, Case Management, Clinical Competency, Clinical Practices/Protocols, Clinical Research, Clinical Support, Cross-Functional, Detail Oriented, Disease Prevention and Control, Establish Priorities, HCL/Lotus Notes, Healthcare, Hospital, Information Technology & Information Systems, Internet Application, Intranet Software/Application, Medical Treatment, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Windows Operating System, Microsoft Word, Negotiation Skills, Nursing, Nursing Credentials, Operating Room Nursing, PC Software, Patient Assessment, Patient Care, Performics, Problem Solving Skills, Quality Management, Quality of Care, RADIUS (Remote Authentication Dial-In User Service), Registered Nurse (RN), Rehabilitation Nursing, Resource Utilization, Software Administration, Utilization Management, Variance Analysis
LOCATION
Wall Township, New Jersey
POSTED
Today
Registered NurseIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionDuration: 4 months +RN with UM/concurrent review experience. Knowledge and experience with inpatient criteria preferably MCG (Milliman) guidelines.Must meet minimum ICM RN1 requirements including active NJ state RN licenseAdditional Skills:• Microsoft office proficiency (Word, Outlook)• Communication with providers and internal customers• Detail oriented and able to organize and prioritize work• Previous Care Radius or similar UM med mgmt. system experience preferredJob Summary:This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.Responsibilities:1. Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.2. Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.3. Coordinates and assists in implementation of plan for members.4. Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.5. Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.6. Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.7. Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.8. Encourages member participation and compliance in the case/disease management program efforts.9. Documents accurately and comprehensively based on the standards of practice and current organization policies.10. Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.11. Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.12. Evaluates care by problem solving, analysing variances and participating in the quality improvement program to enhance member outcomes.13. Completes other assigned functions as requested by management.Knowledge:- Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications.- Prefers working knowledge of case/care management principles.- Prefers working knowledge of principles of utilization management.- Prefers basic knowledge of health care contracts and benefit eligibility requirements.- Prefers knowledge of hospital structures and payment systems.- Microsoft office proficiency (Word, Outlook)- Communication with providers and internal customers- Detail oriented and able to organize and prioritize work- Previous Care Radius or similar UM med mgmt. system experience preferredQualificationsQualifications:Education/Experience1. Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school.2. Requires a minimum of two (3) years clinical experienceAdditional licensing, certifications, registrations:1. Requires an active New Jersey Registered Nurse License.Additional InformationWarm RegardsHarry Chaudhary"Clinical Recruiter"Integrated Resources, Inc.IT Life Sciences Allied Healthcare CROCertified MBE |GSA - Schedule 66 I GSA - Schedule 621IDirect# 732-429-1869(BOARD) # 732-549-2030 – Ext - 207

About the Company

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Integrated Resources, Inc