JOB SEEKERS

JOB LISTINGS

  • Share this Job

Remote Care Review Clinician

Location : Remote (NLC State)
Job Type : Contract
Reference Code : 18279
Hours : Full Time
Required Years of Experience : 1-2
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 Compact State RN license to join our team ANYWHERE in the US! **PLEASE NOTE - This is a 6-month contract-to-hire position. Candidates MUST have 1-2 years hospital-based clinical nursing experience WITH current or recent utilization management or case/care management experience to qualify - no exceptions!

Hours: Full-time; 40 hrs/wk

Salary: Up to $39/hr (based on experience)


 


Job Summary:
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 1-2 years of hospital-based clinical nursing experience WITH current or recent utilization management or case/care management experience




Required Education:
Completion of an accredited RN program

Required Licenses/Certifications:
Active, unrestricted RN license from ANY Compact Licensure state in good standing


Powered by AkkenCloud