Medicaid Home Health/PPEC/PDN Reviewer
Location: Tampa Florida
Description: EQ Health is currently seeking to employ Medicaid Home Health/PPEC/PDN Reviewer right now, this job will be placed in Florida. More details about this job opportunity kindly see the descriptions. eQHealth Solutions, Inc., a leading healthcare quality improvement and utilization review organization, has an excellent employment opportunity for a dynamic and motivated health care professional(s) who will perform preauthorization medical record review, including the application of medical necessity criteria and identification of potential quality of care concerns relative to home health, Prescribed Pediatric Extended Care (PPEC) and/or Private Duty Nursing (PDN) and render accurate review determinations. In addition, will perform care coordination and transition services as needed and appropriate. Successful candidates will have an unrestricted Florida Registered Nurse license and must have at least two years of home health and two years of pediatric experience as well as a background in Medicaid and knowledge of InterQual® or Milliman®. Strong working knowledge and experience in utilization management and/or quality assurance review required and an intermediate working knowledge of MS Office products. Ability to develop effective, positive working relationships with both internal and external contacts a must. Bi-lingual Spanish/English a plus. Position located in the Tampa airport area. Excellent benefit package. Send resume with salary requirements to:
Resumes@EQHS.org
Or fax to:
225-248-7829
EOE
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to EQ Health.
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This job starts available on: Thu, 09 Aug 2012 21:17:30 GMT