Clinical Care Reviewer II Job at Vaco, Dayton, OH

WVZ1Zys3Rzd2aVBMZ0R6VFhmeTk2ZldEV2c9PQ==
  • Vaco
  • Dayton, OH

Job Description

Job Description

Job Description

Vaco Staffing is seeking a Clinical Care Reviewer for a 3 month contract. 100% remote but must have a Compact/Multi-State or Ohio RN license. 

Job responsibilities include: 
  • Oversee medical necessity reviews to ensure authorization
  • Assist in discharge planning activities
  • Coordinate care for members enrolled within specific health management groups
  • Monitor and evaluate the quality standards and cost effectiveness of healthcare services
Requirements include:
  • Graduation from an accredited registered nursing (RN) degree program
  • Minimum 2 years of clinical experience
  • Experience in Utilization Review/Management
Licensure and Certification:
  • Must have a current and unrestricted Compact/Multi-State RN or Ohio RN license.

 

Vaco values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco LLC and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco LLC and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco LLC and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco”) respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco’s HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.

Pay Transparency Notice

Determining compensation for this role (and others) at Vaco depends upon a wide array of factors including but not limited to:

  • the individual’s skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.

Job Tags

Contract work, Local area,

Similar Jobs

Metropolitan Market

Meat/Seafood Assistant Team Leader Job at Metropolitan Market

 ...THE ROLE As a key member of the Meat/Seafood department leadership team, the Meat/Seafood Assistant Team Leader has a breadth of responsibilities spanning from team member development and sales generation, to product management and merchandising. In this role, you... 

Novant Health

Registered Nurse, Pelvic Specialty Job at Novant Health

What We Offer: The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized...  ...nursing required. If your RN nursing license has been inactive, retired or lapsed for five years or more and you have not been licensed... 

The AES Corporation

Legal Counsel Job at The AES Corporation

 ...committed to meeting the Paris Agreements goals by 2050. Legal Counsel Clean Energy Provide advice and counsel to...  ...relevant legal experience, preferably at a major law firm or in?house. R enewable energy experience; wind energy, battery storage or...