Job Summary
A company is looking for a Preservice Review Nurse RN to work remotely.
Key Responsibilities:
- Perform pre-service clinical coverage review of outpatient services to determine medical appropriateness
- Review and validate clinical/medical records and request additional documentation as needed
- Ensure compliance with federal/state requirements and prioritize cases based on urgency
Required Qualifications:
- Current, unrestricted RN license in the state of residence
- Ability to obtain multiple state nursing licenses
- 3+ years of recent RN experience
- Proficient data entry skills and ability to navigate a Windows environment
- Dedicated workspace with access to high-speed internet from home
Comments