Remote Nurse Reviewer I In Westchester

This job has been removed

Location: Illinois

Compensation: Hourly

Staff Reviewed: Thu, Apr 22, 2021

This job expires in: 13 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company has a current position open for a Remote Nurse Reviewer I.

Candidates will be responsible for the following:

  • Receiving pre-authorization requests from front-line intake
  • Conducting initial medical necessity clinical screening
  • Developing telephone service standards to meet departmental performance metrics

Skills and Requirements Include:

  • Current active, valid unrestricted RN license in the state of California
  • Good computer skills and solid typing speed and accuracy
  • Knowledge of managed healthcare programs
  • Familiarity with Utilization Management Guidelines
  • Graduate of an accredited school of nursing
  • 3 + years recent clinical nursing experience in an ambulatory or hospital setting

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