[Remote/WFM] Fully Remote Clinical Review Nurse
Core Information:Company: WorkwarpCompensation: a competitive salaryPosition: Fully Remote Clinical Review NurseStart Date: Immediate openings availableLocation: Remote  Job Description
Job Description...
A-Line is now hiring a Fully Remote Clinical Review Nurse in California (Must reside in state). This would be full time / 40+ hours per week.
If you are interested in this Fully Remote Clinical Review Nurse position, please email Heather Foret [email protected], call Heather at 847-798-6487, or apply to this posting!
Clinical Review Nurse Compensation
 The pay for this position is $40.00 per hour
 Benefits are available to full-time employees after 90 days of employment
 A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Clinical Review Nurse Highlights
 Hours are Monday through Friday 8am  5pm PST
Clinical Review Nurse Responsibilities
 Review concurrent and continued stay requests to ensure appropriate care and setting, following established guidelines and policies.
 Approve services or escalate requests to the Physician or Medical Director for secondary review.
 Complete medical necessity and level of care assessments for requested services using InterQual guidelines, referring to Medical Directors based on case findings.
 Collaborate with staff within provider networks and the discharge planning team, both electronically and telephonically, to coordinate member care.
 Conduct discharge planning activities to facilitate effective transitions of care.
 Educate providers on utilization and medical management processes.
 Provide clinical knowledge and serve as a resource to non-clinical team members.
 Enter and maintain relevant clinical information in various medical management systems.
Clinical Review Nurse Requirements
 High School Diploma or GED
 2-4 years of hospital, Managed care, or UM experience
 Graduate from an accredited School of Nursing  California RN
 Microsoft experience and EMR experience
If you think this Fully Remote Clinical Review Nurse is a good fit for you, please reach out to me by e-mail, or apply to this posting!
Heather Foret  Recruiting Assistant
[email protected] Apply Job! Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!
Apply Now
Job Description...
A-Line is now hiring a Fully Remote Clinical Review Nurse in California (Must reside in state). This would be full time / 40+ hours per week.
If you are interested in this Fully Remote Clinical Review Nurse position, please email Heather Foret [email protected], call Heather at 847-798-6487, or apply to this posting!
Clinical Review Nurse Compensation
 The pay for this position is $40.00 per hour
 Benefits are available to full-time employees after 90 days of employment
 A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Clinical Review Nurse Highlights
 Hours are Monday through Friday 8am  5pm PST
Clinical Review Nurse Responsibilities
 Review concurrent and continued stay requests to ensure appropriate care and setting, following established guidelines and policies.
 Approve services or escalate requests to the Physician or Medical Director for secondary review.
 Complete medical necessity and level of care assessments for requested services using InterQual guidelines, referring to Medical Directors based on case findings.
 Collaborate with staff within provider networks and the discharge planning team, both electronically and telephonically, to coordinate member care.
 Conduct discharge planning activities to facilitate effective transitions of care.
 Educate providers on utilization and medical management processes.
 Provide clinical knowledge and serve as a resource to non-clinical team members.
 Enter and maintain relevant clinical information in various medical management systems.
Clinical Review Nurse Requirements
 High School Diploma or GED
 2-4 years of hospital, Managed care, or UM experience
 Graduate from an accredited School of Nursing  California RN
 Microsoft experience and EMR experience
If you think this Fully Remote Clinical Review Nurse is a good fit for you, please reach out to me by e-mail, or apply to this posting!
Heather Foret  Recruiting Assistant
[email protected] Apply Job! Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!
Apply Now