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Clinical Review Nurse
1 month ago
Job Location: Remote
Job Duration: 6 Months (Potential to extend)
Responsibilities:
- Review clinical documentation and perform utilization management reviews for prior authorizations
- When completely trained completing 20-22 authorizations per day at minimum
Internal/External Groups with which the Candidate will interface:
Required Skills/Experience:
Preferred Skills/ Experience:
1.
Nursing license in IL, IN, or NC preferred
1.
2.
Critical thinking skills
2.
3.
Quick to learn new computer programs
3.
Education Requirement:
Completion of an accredited Nursing program
Education Preferred:
Associates degree in Nursing/ Bachelors degree in Nursing
Software Skills Required:
Microsoft and any clinical documentation system
Required Certifications:
Nursing lic.
Required Testing:
