Job Summary
A company is looking for a Preservice Review Nurse RN for remote work during PST hours.
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 by 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 Pacific Standard Time Schedule (PST)
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