Netsmart Technologies

Utilization Review Nurse - Remote

Netsmart Technologies

United States
Aug 5th, 2022
Netsmart Technologies is an American company that develops and sells health information technology, including electronic health records, especially for organizations and entities in the behavioral health field. It was founded in 1992 although its technology origins go back to 1968 with the founding of Creative Socio-Medics, which it acquired in 1994. Netsmart has since grown via many other acquisitions. It is headquartered in Overland Park, Kansas.
Overland Park, KS
https://www.ntst.com
Are you a Utilization Review Nurse with a passion to help improve the quality of patient care while working from your home? Do you have at least a couple years of experience doing concurrent utilization review within an acute inpatient setting using Interqual guidelines? Do you have the foundation of at least five years of bedside experience within an emergency room, critical care, or med/surg setting? Are you seeking an opportunity to work on a team with other dedicated clinicians in an organization focused on achieving the best outcomes?

McBee Associates, a leader in clinical advisory services, is growing and adding to our remote team of Utilization Review Nurses focused on admissions and continued stay reviews. With the shift to value-based and patient-centered care, McBee has become the company health systems rely upon to ensure care management plans are effective and accurate. We take a partnership approach in care coordination with our clients that results in accurate patient status and reduced denials. Submit your application today and talk with us about the possibilities of working with McBee, a Netsmart company.

Responsibilities
As a remote associate working from home, it is important you have an office that provides the privacy needed for your critical work. Your reviews start at the point of admission, verifying that documentation meets medical necessity requirements utilizing hospitals’ approved evidence-based criteria, identifying missing and insufficient documentation. You will work with physicians on their plan of care and documentation to support the appropriateness of the level of care ordered. The work you do helps hospitals and health systems improve care efforts throughout their organization and increase their cash flow.
Qualifications
  • Active RN licensure in your state of residency with at least 5 years’ clinical experience in an acute care setting in Emergency Department, Critical Care, or Medical/Surgical Care.
  • At least 3 years’ experience in concurrent utilization review within an inpatient acute care setting.
  • Experience with InterQual is a must and any experience with Milliman Clinical Guidelines (MCG) is a plus.
  • Associates are required to work two weekends per month and two holidays per year.
#LI-BF1
#LI-Remote Other
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider. Additionally, a positive result for marijuana will not automatically disqualify a candidate from employment if the individual can provide a valid prescription for medicinal use issued in his or her state of residence. A prescription is required even in states where recreational use has been legalized.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

If you require alternative methods of application or screening, you must approach Netsmart Technologies directly to request this, as we're not responsible for the employer's application process.

RedHired TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.

By applying to a job using RedHired you are agreeing to comply with and be subject to the RedHired Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

RedHired

All job types
Contract
Full-time
Part-time
Permanent
Temporary
Other

All locations
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
United States Minor Outlying Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming