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Clinical Nurse Specialist

2 months ago


Michigan, United States Hirextra -World's First Staffing Aggregator Full time

Position:

Registered Nurse

Location:

Remote

Job Type:

10-month contract with potential for extension

Overview:

The role of the Registered Nurse focuses on the assessment and evaluation of clinical documentation submitted by healthcare facilities. This position requires the application of InterQual criteria and the ability to engage professionally with clinical personnel through various communication methods, including written correspondence, phone calls, and verbal discussions. Please note that this role does not involve claims review.

Key Responsibilities:

  • Review and analyze clinical documentation for compliance and accuracy.
  • Utilize InterQual/MCG criteria for clinical assessments.
  • Maintain effective communication with clinical staff both internally and externally.

Qualifications:

  • A minimum of 2 years of experience in acute care settings with a valid Registered Nurse license.
  • Experience in ICU or ER settings is preferred; candidates should not have solely specialized in areas such as NICU, OB, BH, or Substance Abuse.
  • Familiarity with InterQual/MCG or other utilization review methodologies.
  • Proficient computer skills are essential.
  • Typing speed of 40+ words per minute is required.