Job Summary
A health insurance company has an open position for a Remote Associate or Level I Nurse Reviewer.
Must be able to:
- Receive pre-authorization requests from front-line intake
- Conduct initial medical necessity clinical screening
- Determine if initial clinical information presented meets medical necessity criteria
Must meet the following requirements for consideration:
- Current active, valid unrestricted RN license
- Candidates must have good computer skills and solid typing speed and accuracy
- Knowledge of managed healthcare programs
- Graduate of an accredited school of nursing