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Telecommute RN Supervisor Preservice Reviewer

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Thu, Oct 18, 2018
Job Category: Healthcare, Management, Quality Assurance
Weekly Hours: Full Time
Employment Status: Permanent
Employer Type: Employer
Career Level: Management
Education Level: Some College

Job Summary

A healthcare company needs applicants for an opening for a Telecommute RN Supervisor Preservice Reviewer.

Candidates will be responsible for the following:

  • Clinical and staffing oversight of nursing staff and non-clinical coordinators
  • Educating clinical staff
  • Managing training of new employees, both clinical and non-clinical

Qualifications Include:

  • Current unrestricted RN license
  • 2+ years Utilization Management experience in managed care, acute, or rehab setting
  • 1 year of supervisory experience
  • Knowledge of utilization review process and prior authorization process in a managed health care industry
  • Knowledge of ICD10 and CPT coding
  • Knowledge of CMS and Milliman Care Guidelines and how to apply them for decision making

COMPLETE JOB DESCRIPTION

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