Home Health Job in Tampa 33606, Florida Us

Home Health/PPEC Review RNs

 

Let Your Pediatric and Home Health Experience Pave the Way! 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 experience plus some pediatric background.  A background in Medicaid a plus. A working knowledge of InterQual® or Milliman® preferred. 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 preferred. Excellent benefit package. Send resume with salary requirements to:

Resumes@EQHS.org

Or fax to:

225-248-7829

EOE