Professional Services Network, Inc.

We are looking for a:
Continued Stay Clinical Reviewer, RN
in Washington, D.C. 👨🏽‍⚕️🩺

Direct Hire – Full Time
Start date: As soon as possible‼️

Job Responsibilities
* Perform onsite reviews for providers within Washington, DC, and Maryland.
* Strong Utilization Review, Clinical Review, and Quality
* Provide quality and utilization reviews of members’ needs of care, services, while meeting their acuity level.
* Develop care plans that include continued stay evaluations, meets patients’ needs, and regulations for Medicare, Medicaid, MDS, PASRR, and other standards.
* Knowledge of Medicaid and Medicare evaluation criteria processes strongly preferred.
* Familiarity with medical management applications, such as Jiva, Epic, etc.
Education & Other Requirements
* A degree or diploma in nursing.
* Current, active, unrestricted RN licensure in Washington, DC, or the ability to obtain one within 30 days of employment.
* 3+ years of clinical (direct patient care) work experience.
* 2+ years’ experience with Long Term Care facilities admission screening and development of care plans for patients
* 1+ years of continued stay utilization review or MDS experience preferred.
* Proficient with EMR and Microsoft office.
* Requires reliable transportation for onsite visits.
* Client requires proof of COVID vaccination or exemption status notation.

Give us a call at 301-460-4089 ☎️

Make sure to check out our job postings at 👉🏼 psninc.net or call us!

We have many opportunities for both managed care and clinical care! 👩🏼‍⚕️🩺



# qualityimprovement

Seeking a experienced Nurse Case Manager for the NOLA area!

Immediate opening for a Direct Hire, Case Manager, Registered Nurse (RN) in Louisiana
* Provides Case Management with a focus in concurrent reviews, documentation of approved and denied days, develop treatment plans, reviews clinical documentation, prioritize cases, and discharge planning.
* Screen patients during intake process and identify needed resources.
* Must have experience with the use of clinical guidelines/tools (McKesson, Milliman Care Guidelines (MCG), InterQual and Indicia) and adhere to local, state, and government guidelines
* Knowledge of Managed Medicaid and Managed Medicare, preferred
* Must have experience with Epic (EMR)
* Location is in New Orleans and surrounding counties

One person can make a difference, and everyone should try. – John Fitzgerald Kennedy

Social workers make a difference every single day in the healthcare field… we would love to speak with you if you are looking for a exciting new position.

Are you a Licensed in DC as a Social Worker (LICSW, LGSW, or LSWA)?

Are you looking for the flexibility of remote without the full commitment of giving up office life?

We may have the perfect fit for you in this 50/50 remote and onsite role!

Give us a call at 301-460-4089 ☎️

Be sure to check out our the jobs listing👉🏼
https://www.psninc.net

🎉 PSN is looking for a Accreditation Consultant - NCQA‼️

PSN is looking for experienced NCQA Consultants to assist our clients with their accreditation needs. 💻

As a consultant partnering with PSN you will benefit from our marketing expertise, as well as our administrative assistance. PSN's qualified administrative staff handle all initial inquiries and match our clients to the consultant who best fits their needs. We schedule the initial consultant call and handle all agreements, and invoicing of clients. PSN additionally carries all the necessary insurance our clients require, such as Professional Liability, Cyber Security and Worker’s Compensation. We also register with the client state and pay all required corporate taxes.

More info about this role can be found on our website!

Give us a call at 301-460-4089 ☎️

Make sure to check out our job postings at 👉🏼 psninc.net or call us!

We have many opportunities for both managed care and clinical care! 👩🏼‍⚕️🩺