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Care Review Clinician

Location : Oakbrook, IL
Job Type : Contract to Direct
Reference Code : 17897
Hours : Full Time
Required Years of Experience : 0-2 Years of Experience
Required Education : Bachelor Degree in Nursing or Masters in Social Work
Travel : No
Relocation : No
Job Category : Healthcare - RNs & Nurse Management

Job Description :

Our client, a major Health System, is seeking an RN Care Review Clinician to join their team


 


*Position is 100% remote, and the client is seeking an RN Case Manager that is located anywhere in the US!


Shift: 8a-5p




RN Care Review Clinician Job Responsibilities:




Will be responsible for completing Prior Authorizations and managing 15-20 PA's!


Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.




RN Care Review Clinician Job Requirements:



  • 1-3 years of hospital or medical clinic experience

  • Must have experience with UM and Insurance Verification

  • Must be an active RN and hold an unrestricted RN License.


For immediate consideration, please email updated resume to jneary@mednationalstaffing.com


Required Qualifications :
 
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