Clinical Nurse
2 weeks ago
TekWissen Group serves as a prominent workforce management provider across the United States and internationally. Our client operates within the health insurance sector, delivering a variety of healthcare coverage options including individual and family plans, dental and vision coverage, as well as employer-sponsored plans.
Job Title: Clinical Nurse - Review Specialist
Work Type: Remote
Department: Commercial Inpatient Services
Engagement Details:
Essential Skills and Experience:
- Minimum of 2 years of acute care experience 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.
- Typing speed of 40+ words per minute.
- Previous experience in Utilization Review at a health insurance organization, specifically in medical and surgical admissions.
- Experience in an acute care environment focusing on Utilization Review.
- Must possess an unrestricted Registered Nurse license.
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