Remote Preservice Review Nurse

Job ID: Available for Members

Location: Pacific Time

Compensation: To Be Discussed

Staff Reviewed: Fri, Sep 14, 2018

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is seeking a Remote Preservice Review Nurse.

Core Responsibilities of this position include:

  • Performing medical necessity review for services that require prior authorization utilizing specific criteria
  • Discussing cases with treating physicians and other healthcare professionals to gather necessary information
  • Requesting clinical information necessary to review requested services

Qualifications for this position include:

  • Active, unrestricted RN license in your state of residence
  • 3+ years of clinical experience
  • Previous experience in Prior Authorizations or related function
  • Ability to create, edit, save and send documents utilizing Microsoft Word
  • Ability to be flexible and work in a fast - paced environment
  • Able to work every other weekend both Saturday and Sunday