Remote Associate or Level I Nurse Reviewer in Glendale

This job has been removed

Location: California

Compensation: To Be Discussed

Staff Reviewed: Thu, Nov 18, 2021

This job expires in: 15 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

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

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