Remote Clinical Review RN

A-Line reputed company is hiring a Remote reputed company Review reputed company residing in TX. This position has career reputed company potential with full time / 40+ hours per week.* If interested in this reputed company Review reputed company position reputed company for IMMEDIATE consideration mtrubitt@alinestaffing.com reputed company Review reputed company Details And Compensation • Location: 100% Remote (must reputed company in TX) • Payrate: $38 - $42 per hour reputed company Review reputed company Schedule Tuesday to Saturday reputed company to 5pm CST reputed company Review reputed company Responsibilities • Performs reputed company reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. • Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. • Reviews denial letters for reputed company review • No member or provider reputed company. reputed company Review reputed company Requirements • TX RN license, compact or single state • Candidates must reputed company in TX • 2+ years of acute care experience required • 2+ years of reputed company experience required • Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred. • Knowledge of Medicare and reputed company regulations preferred. • Knowledge of utilization management processes preferred. If interested in this reputed company Review reputed company position reputed company, text, or email for IMMEDIATE consideration mtrubitt@alinestaffing.com Apply tot his job Apply To this Job