Washington RN Preservice Review Nurse

Job Summary

A company is looking for a Preservice Review RN PST including Weekends - Remote.

Key Responsibilities

• Determine the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination
• Identify solutions to non-standard requests and problems
• Act as a resource for others, providing explanations and information on complex issues

Required Qualifications

• Undergraduate degree or equivalent experience
• Unrestricted RN license in state of residence
• 1+ years of Managed Care and/or Clinical experience
• Ability to work a full-time schedule, including weekends
• Work Pacific Standard Time Schedule (PST)