Remote Preservice Review Nurse RN
A company is looking for a Preservice Review Nurse RN to review medical necessity requests and manage case documentation.
Key ResponsibilitiesReview Musculoskeletal care requests to determine medical necessityEvaluate documentation to support medical necessity and maintain communication with involved partiesAdhere to documentation guidelines and assess customer needs for case managementRequired QualificationsUndergraduate degree or equivalent experienceCurrent and active unrestricted Nursing License or certification3+ years of experience, including 1+ years in Musculoskeletal, Case Management, or Pre-AuthorizationKnowledge of clinical criteria (e.
g., CMS, InterQual)Proficiency in operating computers
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade l...
Remote Preservice Review Nurse RN
A company is looking for a Preservice Review Nurse RN to review medical necessity requests and manage case documentation. ...
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade l...
Remote Preservice Review Nurse
A company is looking for a Preservice Review Nurse RN - Remote. ...
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade l...
Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse for remote work. ...
Preservice Review Nurse LPN or LVN - Remote
Educates providers, members and internal staff on guidelines, member benefits, alternate levels of care available. If you are located in either Pacific Standard or Mountain Standard time zone, you will have the flexibility to work remotely* as you take on some tough challenges. Prepares and document...
Travel Nurse RN - Case Manager in Tuba City, AZ - Excellent Benefits 2024-10-20
TravelNurseSource is working with Lark Medical Staffing to find a qualified Case Manager RN in Tuba City, Arizona, 86045!. As a Travel Nurse with Lark Medical Staffing, you'll embark on a fulfilling journey, exploring new destinations while making a meaningful impact on patients' lives across the co...
Telehealth Case Manager I - RN
Telehealth Case Manager is responsible for addressing client, patient and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. A key area of focus will be on closing gaps that delay treatmen...
Utilization Review Nurse
We're hiring a Utilization Review Registered Nurse to join our Clinical Review team. As the Utilization Nurse you will perform frequent case reviews, check medical records and speak with care providers regarding treatment. You will report to the Utilization Review Supervisor. Complete medical ne...