Preservice Review Nurse RN

Job Summary

A company is looking for a Preservice Review Nurse RN - Remote.

Key Responsibilities:

• Perform initial and ongoing reviews for prior authorization, inpatient care management, discharge care management, and post-acute care management
• Collaborate with medical directors, clinical peers, and health plan partners for appropriate clinical decision-making
• Maintain compliance with federal, state, and accreditation organizations while following standard operating procedures

Required Qualifications:

• Current, unrestricted RN license in State of residency
• 3+ years of RN experience
• Proficient computer skills including Microsoft Office Suite
• Ability to work weekends
• Bachelor of Science degree in Nursing or a Master of Science degree in Nursing preferred