Remote Concurrent Review Nurse in Los Angeles

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Posted: Wednesday, October 10, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time, Part Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A leading global professional services firm is filling a position for a Remote Concurrent Review Nurse in Los Angeles.

Core Responsibilities of this position include:

  • Assessing members' needs
  • Identifying solutions to problems and non-standard requests
  • Maintaining compliance with regulatory agency requirements

Skills and Requirements Include:

  • Current unencumbered California RN license
  • 2+ years of acute hospital clinical experience
  • 4+ years of utilization management experience
  • In-depth knowledge of medical practices standards and benefit structures
  • Competency in all types of medical-necessity decisions
  • Familiarity with Milliman and InterQual guidelines