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Nurse Reviewer
2 months ago
Position: Registered Nurse - Concurrent Review
Location: Remote in California
Contract Duration: 12+ Months with Potential for Extension
Compensation: $50 to $55 per hour based on experience
Relocation Support: Not Provided
Role Overview:
The Registered Nurse in this role will be responsible for conducting concurrent reviews of patient care episodes, making determinations regarding medical necessity. This position primarily allows for remote work, with the option to utilize a hotel desk if attendance at the assigned office is required.
Key Responsibilities:
- Perform concurrent reviews to assess the necessity of medical services.
- Utilize clinical expertise to evaluate patient care and ensure compliance with established criteria.
Qualifications:
- Current California RN license; BSN is preferred.
- Demonstrated clinical experience with direct patient care.
- Proficient in computer applications, particularly within the Windows environment.
- Ability to maintain a HIPAA-compliant home office setup.
Desirable Skills:
- Experience in Utilization Management (UM).
- Familiarity with MCG Criteria.