Affinity Medical Solutions
The Concurrent Review Nurse (CCR) will manage inpatient utilization onsite at Doctor’s Medical Center, Alta Bates & Summit Hospitals and perform telephonic review for several other facilities. The CCR is responsible for facility discharge planning and authorization of hospitalized members to assure that the coordination of medical care is appropriate.
DESIRED SKILLS AND EXPERIENCE
Must be a team player and self-starter with prior concurrent review and discharge planning experience. Must have an active, unrestricted California Nursing License, be a Registered or Licensed Vocational Nurse, have a valid California Driver’s license and have at least 3 years of clinical nursing experience. Must be able to apply clinical care guidelines to determine medical necessity. Serves as a liaison for a variety of customers including physicians, health plans, hospitals, vendors, office staff, providers and members. Have the capacity to work independently, applying critical thinking skills to make appropriate decisions and prioritize projects while maintaining excellent interpersonal verbal and written communication.
Please submit your resume and cover letter to: firstname.lastname@example.org, and include “Concurrent Review Nurse – Req #86114-7F” in the subject line.