Florida Licensed Review Nurse

Job Summary

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

Key Responsibilities

• Perform clinical coverage review services, interpreting state and federal mandates and clinical information
• Collaborate with team members to meet performance metrics and function independently
• Engage in telephonic discussions with healthcare providers and members regarding benefit coverage determinations

Required Qualifications

• Current unrestricted RN license in the state of residency
• Professional experience in direct patient care
• Proven exemplary clinical documentation and critical thinking skills
• Demonstrated proficiency in computer skills including Excel and clinical platforms
• Flexible with work hours and open to weekend rotation schedule