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Remote Care Review Clinician RN II

Location : Remote (WA State)
Job Type : Contract
Reference Code : 14631
Hours : Full Time
Required Years of Experience : 2-4
Required Education : Completion of an accredited RN program
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :

We have an immediate opening for a Remote Care Review Clinician with an active, unrestricted WA State RN license and inpatient NICU case review experience to join our team ANYWHERE in the U.S.! **PLEASE NOTE - This is a 100% remote position but you MUST hold an active WA STATE RN license - NO EXCEPTIONS! This is a 6-month, part-time, contract-to-hire position.

Hours: part-time; 20 hrs/wk

Salary: up to $42/hr (based on experience)

Job Requirements:
Knowledge about applicable state, and federal regulations. In-depth knowledge of references for length of stay and medical necessity determinations. Experience with NCQA. Computer proficiency (Microsoft Office Products). Excellent verbal and written communication skills. Maintains professional relationships with provider community and internal and external customers. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Required Qualifications :

Required Experience:

  • A minimum 2-4 years of hospital-based clinical nursing experience, utilization management or case/care management

  • 1-2 years of current or recent inpatient NICU case review experience

Required Education:

  • Completion of an accredited RN program

Required Licenses/Certifications:

  • Active, unrestricted WA State RN license in good standing

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