Arizona Licensed Preservice Review Nurse

Job Summary

A company is looking for a Preservice Review Nurse RN - Remote.

Key Responsibilities

• Perform clinical reviews related to Women's Health, Gender Dysphoria, and Genetics services
• Make clinical decisions based on state and federal mandates, benefit language, and clinical information
• Communicate benefit determinations and collaborate with Medical Directors and business partners

Required Qualifications

• Current, unrestricted RN nursing license
• 3+ years of RN patient care experience
• Proficiency in Microsoft Office Products
• Demonstrated exemplary clinical documentation skills
• Proven self-starter with the ability to manage a fast-paced production environment