Registered Nurse III (Concurrent Review)
Spectraforce
Rancho Cordova, California
Remote
7 days ago
Job Description
Position Title: Registered Nurse III
Work Location: Remote
Assignment Duration: 6+ months
Work Schedule: 08:00 AM PST – 4:30 PM PST with ½ hour lunch, or 5:00 PM PST with 1 hour lunch
Work Arrangement: Remote
Position Summary:
- Review of Concurrent review episodes of care making Medical Necessity decisions.
Key Responsibilities:
- Review of Concurrent review episodes of care making Medical Necessity decisions.
Qualification & Experience:
- Strong Clinical Background, Direct Patient care experience
- Strong Computer Skills
- Ability to work from HIPPA compliant home office Self directed
- Preferred: UM experience
- Preferred: Use of MCG Criteria
- Valid Ca. RN license, BSN preferred
- Windows Based software knowledge
Notes:
- Business unit candidate will work: Case Management, Prior Auth, and other clinical based units within our organization.
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: $40.00/hr.