Telecommute Pre Service Review Nurse

Job ID: Available for Members

Location: West Coast, Pacific Time, California, Idaho, Nevada, Oregon, Washington

Compensation: To Be Discussed

Staff Reviewed: Tue, Aug 21, 2018

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare company has a current position open for a Telecommute Pre Service Review Nurse.

Core Responsibilities Include:

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

Skills and Requirements Include:

  • Active, unrestricted RN license in your state of residence
  • 3+ years of clinical experience (any setting)
  • Previous experience in Prior Authorizations or related function
  • Ability to create, edit, save and send documents utilizing Microsoft Word
  • Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches