Nurse Coordinator for Physician Review - Entry Level
Company: Hines & Associates Inc
Location: Elgin
Posted on: May 14, 2025
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Job Description:
Description: Nurses - are you looking for a change? Want to work
no nights, no weekends, and no holidays? Be able to work from home
50% of the time once trained? Check out Hines & Associates! ABOUT
US:Hines is a nationwide, independent leader in personalized
managed health care, focused on what's important to
you-comprehensive services with the program excellence and cost
containment that you demand. Hines & Associates, Inc.'s reputation
as an industry leader is founded on over three decades of
innovative and professional health care excellence. Serving all
aspects of the industry, Hines is committed to conserving health
care dollars while ensuring quality care through effective programs
and personalized service.WHAT WE OFFER:Competitive salary and
benefits, including medical, dental, vision, long-term care,
short-term disability, long-term disability, company paid and
voluntary life insurance. Critical Illness, accident insurance and
flexible spending also available!401k plan with company match,
fully vested after 1 year.No weekends and nights!Paid
HolidaysWork-life balance.Remote/hybrid setting (once trained)In
this role you will work collaboratively with our Utilization Review
RNs, Case Managers, and Physician Reviewers as you assist with
processing cases through the physician review process.You will be
responsible for assigning cases to the appropriate physician
specialty for review, quality assurance of final physician reports
to ensure the final determination rationale from the physician is
supported by the patient's records provided, and that the rationale
is supported by appropriate evidence-based literature.You will also
be responsible to notify the assigned UR or CM nurse of the
determination for processing on their end and ensuring the
physician review is completed within the appropriate
timeframe.PM21Requirements:-- Active IL RN license-- Experience
working in acute care clinical setting.-- Ability to effectively
communicate.-- Ability to type at least 35 WPM.Compensation
details: 61880-67267 Yearly SalaryPIadcb003892d0-25660-37331066
Keywords: Hines & Associates Inc, Chicago , Nurse Coordinator for Physician Review - Entry Level, Healthcare , Elgin, Illinois
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