Job Summary
A healthcare financial consulting company is searching for a person to fill their position for a Virtual Case Management Nurse.
Individual must be able to fulfill the following responsibilities:
- Participating in telephonic discussions with emergency department physicians
- Reviewing electronic medical records of emergency department admissions
- Entering clinical review information into system for transmissions to insurance companies for authorization
Skills and Requirements Include:
- Proficiency in medical record review
- Current RN license
- Knowledge of InterQual criteria required
- 5+ years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
- Bachelors of Science in Nurse or equivalent
- Minimum of 3 years of case management/concurrent review/utilization management experience is required, preferably within the ED setting