Telecommute Concurrent Review Nurse in Dallas

Job ID: Available for Members

Location: Texas

Compensation: To Be Discussed

Posted: Wednesday, October 10, 2018

This job expires in 18 days

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 management consulting provider is seeking a Telecommute Concurrent Review Nurse in Dallas.

Core Responsibilities of this position include:

  • Determining medical appropriateness of inpatient and outpatient services
  • Ensuring proper utilization of health services
  • Identifying solutions to problems and non-standard requests

Required Skills:

  • Minimum of 2+ years of acute hospital clinical experience and 4+ years of utilization management experience
  • Current unencumbered RN license for the state of Texas and any other compact states
  • Ability to work remotely and be available for daily huddle calls via conference call and or WebEx sessions
  • In-depth knowledge of current standard of medical practices and insurance benefit structures
  • Familiarity with Milliman and InterQual guidelines