Kentucky Licensed Review Nurse

Job Summary

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

Key Responsibilities

• Manage a full array of healthcare services in collaboration with a cross-functional team
• Perform initial and ongoing reviews using clinical criteria for approvals and adverse determinations
• Collaborate with Medical Directors and clinical peers for clinical decision-making and case management

Required Qualifications

• A current, unrestricted RN license
• Compact Nursing license
• Experience performing discharge planning
• Proven solid computer skills
• Demonstrated ability to work independently