Job Summary
A company is looking for a Registered Nurse Pre-Service Coordinator Remote - Mon-Fri 1pm to 10pm CT.
Key Responsibilities
- Review pre-authorization requests for skilled nursing and rehabilitative services to determine medical necessity
- Coordinate patient transitions from community or acute settings to appropriate levels of care
- Educate facilities on the pre-service denial process and participate in clinical phone queues to meet customer service level agreements
Required Qualifications
- Active, unrestricted RN license in state of residence
- 3+ years of clinical experience
- Experience in oversight and supervision of assistants (CNAs, PTAs, OTAs)
- Experience with physician engagement and crucial conversations
- Ability to work flexible shifts, including early or late hours as needed
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