salary: $22.99 - $23 per hour
shift: First
work hours: 10 AM - 7 PM
education: High School
Responsibilities
- Print/sort/prioritize CDS census report for their own individual & assigned RN cases to be worked on for the day – Inpatient census
- Print CDS census report for the “in process authorizations”/pending PPG decision
- Call Hospitals for members admission/discharge status
- Email to the RN - admission/discharge status info received from phone calls
- Data entry of admission/discharge status info received from hospital into Unity
- Decision making status on cases based on Health Net criteria if cases are to be routed/followed by an RN or continued to be followed by the UMC.
- New auth creations for discharge disposition (throughout the day)
- RN support for auth creation, inquiry checks, manual letter generation, milecalc, corrections (throughout the day)
- Department pager for urgent hospital inquiries on inpatient admissions
The essential functions of this role include:
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Applications accepted on ongoing basis until filled.