使用审查护士-远程-合同
Utilization Review Nurse-Remote-Contract
$40/hour - 合同工，6个月
必须居住在德克萨斯州
全职远程办公
候选人必须位于德克萨斯州。
注册护士（RN），在保险或管理护理行业工作，使用医学认可的标准来验证治疗方案的医疗必要性和适当性。
时薪为$40
该职位负责执行初始和持续审查活动；出院护理协调，以确定医疗/手术服务的效率、效果和质量，并作为提供者与医疗和网络管理部门之间的联络人。收集临床和非临床数据。验证资格。根据合同指南确定福利等级。向会员、提供者和设施提供有关使用管理要求和操作流程的信息。
持有在运营州有效、当前且无限制的注册护士（RN）执照。
* 在医生办公室、医院/手术环境或医疗保健保险公司有3年临床经验。
* 熟悉医学术语和程序。
* 具备口头和书面沟通能力。
优先职位要求：
* 使用管理经验
* 有MCG或InterQual经验
时薪：$40/hour
最初发布于Himalayas
查看英文原文
$40/hour - Contract for 6 months
Must reside in TX
Full time remote
Candidates must be based in TX.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
pay rate is $40/hour
This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities.
Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.
* 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
* Knowledge of medical terminology and procedures.
* Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
* Utilization management experience
* MCG or InterQual experience
Salary: $40/hourOriginally posted on Himalayas