Job Description
Position Title: Clinical Review Nurse – Concurrent Review
Work Location: Remote-Texas- CST
Assignment Duration: 6 months
Schedule: working Saturday & Sunday - would then pick their two consecutive days they do not want to work (Monday, Tuesday) (Tuesday, Wednesday) (Thursday, Friday) working remainder of the week
Position Summary:Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.
Background & Context:
The Organization requires a Texas RN to support clinical review functions.
Key Responsibilities:
• Top 3 must-have hard skills stack-ranked by importance
• Multitasking
• Fast learner
• Computer savvy
Qualification & Experience:
• Required: Graduate from an Accredited School of Nursing or bachelor’s degree in nursing
• Preferred: 2 – 4 years of related experience- 4 years is preferred
• Required: Texas RN
• Years of experience required: UM experience preferred not required
• Disqualifiers: Less than 2 years of nursing experience, no LPNs
• Additional qualities to look for: Multitasking, fast learner, positive, and be computer savvy.
| Candidate Requirements | ||||
| Education/Certification | Required: Graduate from an Accredited School of Nursing or bachelor’s degree in nursing | Preferred: 2 – 4 years of related experience- 4 years is preferred | ||
| Licensure | Required: Texas RN | Preferred: | ||
| Years of experience required: UM experience preferred not required Disqualifiers: Less than 2 years of nursing experience, no LPNs Additional qualities to look for: Multitasking, fast learner, positive, and be computer savvy. | ||||
| 1 | Multitasking | ||
| 2 | Fast learner | |||
| 3 | Computer savvy | |||
- 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: $ 40.00/hr.