A company is looking for a Preservice Review Nurse RN - Remote.
Key Responsibilities
Perform pre-service clinical coverage review of outpatient services
Review and interpret clinical / medical records and request additional documentation as needed
Ensure compliance with federal / state requirements and make medical determinations based on protocols
Required Qualifications
Current, unrestricted RN license in the state of residence
Ability to obtain multiple state nursing licenses
3+ years of recent RN experience
Computer proficiency, including data entry and navigation in a Windows environment
Dedicated workspace with access to high-speed internet
Review Nurse • Independence, Missouri, United States