Talent Healthcare Staffing Inc is seeking a local contract nurse RN Case Management for a local contract nursing job in Remote, California.
Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Local Contract Day to Day Responsibilities The day-to-day job responsibilities in this role include utilizing client's P&T approved clinical coverage criteria to review prior authorization requests for clinical appropriateness and medical necessity within regulatory turnaround times.
Cases are prepared by our intake staff and pharmacy technicians before being sent to a pharmacist for final review.
Notifications regarding determination are sent to the provider and member.
This position supports ongoing 2024-2025 business needs.
Required Skills (top 3 non-negotiables): 1.
Knowledge of clinical pharmacology.
Ability to interpret clinical charts and labs.
2.
Excellent oral and written communication skills.
3.
Proficiency with clinical compendia (Micromedex, Clinical Pharmacology, NCCN, AHFS, etc).
Preferred Skills (nice to have) 1.
Prior Authorization review experience.
2.
Experience with and/or knowledge of specialty and injectable medications.
3.
Completion of residency program.
Talent Healthcare Staffing Inc Job ID 23393740.
Posted job title: Case Management 5 About Talent Healthcare Staffing Inc TALENT Healthcare Staffing Services (THSS), a distinguished spin-off from TALENT Software Services with a rich 35-year legacy in the staffing industry.
Founded by Dave Iacarella, a Service-Disabled Vietnam-Era Veteran, THSS is dedicated to meeting the evolving needs of healthcare clients in nursing, allied, and clinical staffing.
Our vision is rooted in unparalleled human capital solutions for Health Systems, Hospitals, and Long-Term Care (LTC) facilities.
At THSS, our commitment goes beyond placement.
We ensure meticulous onboarding and prioritize the quality and productivity of our resources, reflecting our dedication to long-term partnerships and client success.
As a veteran-led organization, THSS embodies service, integrity, and excellence in healthcare staffing.
We believe in aligning talent with healthcare needs, positioning THSS as your trusted partner in the dynamic landscape of healthcare staffing.
Visit us at https://talenthealthcarestaffing.com/ to learn more and get started today.