Washington RN Preservice Review Nurse

Job Summary

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

Key Responsibilities:

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

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 Pacific Standard Time Schedule (PST)