Demo

Weekend RN Reviewer

VirtualVocations
Saint Charles, MO Full Time
POSTED ON 1/19/2025
AVAILABLE BEFORE 4/11/2025

A company is looking for a Weekend RN Reviewer to perform medical necessity reviews and collaborate with healthcare providers.Key ResponsibilitiesPerform medical necessity reviews including inpatient, concurrent, prior authorization, and retrospective reviewsCommunicate with providers and facility staff to ensure member needs are metDocument clinical information accurately and participate in quality improvement activitiesRequired Qualifications, Training, and EducationRegistered Nurse with an active, unencumbered license in the state of residenceMinimum of 3 years of clinical experience, with required Utilization Management experienceBachelor's degree preferred in Nursing, Business, or equivalent professional work experienceExperience in acute care or post-acute care environmentsMCG certification preferred

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