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Remote PAC Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Tue, Jan 04, 2022
Job Category: Healthcare
Employer Type: Employer
Career Level: Experienced
Education Level: Some College

Job Summary

A company that provides home health benefits management services for healthcare providers needs applicants for an opening for a Remote PAC Nurse.

Core Responsibilities of this position include:

  • Establishing scheduled telephonic touch points with each facility point person
  • Using clinical expertise, review clinical information and clinical criteria
  • Ensuring case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time

Required Skills:

  • Current and unrestricted license as a Licensed Practical Nurse or Registered Nurse
  • Associate's Degree or Diploma in Nursing/Practical Nursing or the equivalent
  • Minimum of 2 years clinical experience in a clinical setting
  • Expertise in Utilization Management and knowledge of URAC & NCQA standards
  • Broad knowledge of health care delivery/managed care regulations

COMPLETE JOB DESCRIPTION

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