Florida Licensed Preservice Review Nurse
VirtualVocationsFort Worth, Texas, United Statesjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Preservice Review Nurse RN - Remote.
Key Responsibilities
Perform clinical coverage review services, interpreting state and federal mandates and clinical information
Collaborate with a self-directed team to meet performance metrics and communicate benefit determinations
Engage in telephonic discussions with healthcare providers and members regarding coverage determinations
Required Qualifications
Current unrestricted RN license in the state of residency
Professional experience in direct patient care
Demonstrated proficiency in computer skills, including Microsoft platforms and clinical systems
Proven clinical documentation and critical thinking skills
Designated secure workspace with high-speed internet access
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