Job Summary
A company is looking for a Radiation Oncology Preservice Review Nurse RN - Remote.
Key Responsibilities:
- Perform pre-service clinical coverage review of outpatient services
- Evaluate medical appropriateness using clinical guidelines and benefit plan documents
- Request additional medical documentation and ensure compliance with federal/state requirements
Required Qualifications:
- Current, unrestricted RN license in the state of residence
- Ability to obtain licensure in other states as needed
- 2+ years of Radiation Oncology nursing experience
- Computer proficiency with solid data entry skills
- Access to high-speed internet and a dedicated workspace for home office setup
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