Nevada Licensed Preservice Review Nurse

Job Summary

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

Key Responsibilities

• Perform clinical coverage review services, interpreting mandates and clinical information
• Collaborate with a self-directed team to meet performance metrics
• Engage with healthcare providers and members to explain 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
• Designated secure workspace with access to high-speed internet