Salary: $3205 / Week Amergis Healthcare isseeking an experienced Registered Nurse and self-motivated individual toprovide data collection and related activities for Quality Improvement (QI) andUtilization Review as well as completion of financial documents needed forlevel of care, billing, and reimbursement processes. For this role, the nursewill be adding Admissions and Insurance Authorizations. MUST have experiencewith Utilization Review, Authorizations and Admissions. Position Details: + Location: Canton, MA + Setting: Pediatric Hospital + Schedule: Mon-Fri 8a-4p o r9a-5p + Compensation: $72/hr local & $3,200 travel Duties and Responsibilities (these duties are ageneral summary and not all inclusive): + Collects and compiles data on the joint Commission’sprescriptive measures and others as appropriate in a timely manner. + Assembles and collates data on physician-related indicatorsfor use in the Medical + Reviews and levels pre-admission abstracts when requestedusing established and approved criteria for utilization review. + Compiles records and monitors information on a weekly basiswhen the patient is at an acute Level of Care (LOC) for changes in status. + Reviews all patients for hospital stay medical necessity onan ongoing basis. + Evaluates managed care patients as requested by insurer. + Collaborates with the Billing team to complete and manageall financial documents needed for level of care, billing, and reimbursement. + Provides support and coordination of all DME requests. This collaboration is primarily with CaseManagement, PT, OT, SLP, and Rehab Engineering. + Creates updates, maintains, and signs off on UR-relatedpolicy and procedures at least every 3 years. + Provides staff support for Performance Improvement, rootcause analysis, and failure mode effects analysis teams. + Oversees training and educational needs for staff asappropriate. Required Qualifications: + Knowledge of the principles and practices of nursing. + Capacity to integrate and interpret statistical data. + Ability to gather information through observing andquestioning individuals and by examining records and documents. + Ability to work cooperatively and effectively with amultidisciplinary team. + Talent for communicating effectively verbally and inwriting. Preferred Qualifications: + Thorough knowledge of Joint Commission Standards,particularly those involving quality improvement. + Current and up-to-date knowledge of changes to existinglaws, standards, and regulations, and the ability to explain and interpret sameto facility wide personnel. + Demonstrated understanding of external agencyinterface with Utilization Review, Case Management, Patient Safety and QualityImprovement. + High degree of organizational skills and strongwritten and oral communication skills, including methods of general reportwriting.Proficient in Microsoft Office applications including Excel, Word,Outlook, PowerPoint, and If you have any questions or would like to learn more aboutthis opportunity, please don’t hesitate to reach out. We look forward toconnecting with you! Adam Batchelor | Amergis Healthcare Services Recruiter | Government Services 781-657-1826 | adbatche@amergis.com Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.