Job Summary
A healthcare company is searching for a person to fill their position for a Remote Associate or Level I Nurse Reviewer in Glendale.
Core Responsibilities of this position include:
- Conducting initial medical necessity clinical screening
- Receiving pre-authorization requests from front-line intake
- Maintaining confidentiality of patient and provider specific information
Must meet the following requirements for consideration:
- Experience with Utilization Management Guidelines, ICD-10 and CPT-4 coding
- Current active, valid, unrestricted RN license
- Experience working with managed healthcare programs
- Requires AS/BS in nursing from an accredited institution
- Current valid and unrestricted RN license in applicable state(s) required
- 3+ years of clinical nursing experience in an ambulatory or hospital setting