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Nurse RN 3 (Concurrent Review RN)
Spectraforce
US
Remote

38 minutes ago

Job Description

Job Title- Nurse RN 3 (Concurrent Review)
Location- Remote in California
Duration- 6 months
Shift- 8am to 5pm or 4:30


Job Summary : 
  • Reviewing for medical Necessity all levels of care combining clinical knowledge and judgement with MCG guidelines.
  • Rendering decisions and or upleveling to our in-house MD for review if the nurse is unable to approve.
  • All of this to be done within regulatory turn around times.
  • Our staff do not interact with members but work with the case managers and medical staff at the facilities.
Required Skills :
  • Strong Clinical (hands on) background
  • Strong Computer skills
  • Ability to work remote/self-directed
Disqualifiers/ Dislikes on Resumes: Little or no hands-on clinical experience. Poor Computer Skills. Inability to follow directions or training

Education Requirements: Current Valid Ca. RN license BSN preferred but not required

Software Skills Required:Strong basic navigation of Microsoft…EMR chart handling a plus 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 45.00/hr.

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