Clinical Review Nurse HealthHelp, Inc.
Performs clinical intake and certifies cases according to policies and procedures of HealthHelp.
Refers all calls to the Assessment Manager per guidelines.
Provides quality customer service through interaction with providers, administrative staff and others.
Collects and enters confidential information ensuring the highest level of confidentiality in all areas.
Maintains written documentation according to HealthHelp documentation policy
Provides ongoing telephonic education to providers and office staff related to HealthHelp and the RadConsult process.
Reviews clinical intake against RadConsult protocol and determines if criteria is met.
Works closely with Radiology Reviewers to determine appropriateness.
Assess the Assessment unit in the orientation and training of new Assessment Coordinators.
Current license as LVN, RN or LPN.
24 months of prior clinical experience in a direct clinical care and managed care environment
Worked in the past 12 months in a direct clinical care and managed care environment
Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
Travel: As business needs dictate Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
HealthHelp provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.
Houston, Texas, United States
||Houston, TX |