Remote Clinical Review RN

A-Line staffing is hiring a Remote Concurrent Review Nurse residing in TX. This position has career growth potential with full time / 40+ hours per week.* If interested in this Concurrent Review Nurse position APPLY NOW for IMMEDIATE consideration mtrubitt@alinestaffing.com Concurrent Review Nurse Details And Compensation • Location: 100% Remote (must reside in TX) • Payrate: $38 - $42 per hour Concurrent Review Nurse Schedule Tuesday to Saturday 8am to 5pm CST Concurrent Review Nurse Responsibilities • Performs concurrent 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 concurrent review • No member or provider outreach. Concurrent Review Nurse Requirements • TX RN license, compact or single state • Candidates must reside in TX • 2+ years of acute care experience required • 2+ years of related 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 Medicaid regulations preferred. • Knowledge of utilization management processes preferred. If interested in this Concurrent Review Nurse position apply now, text, or email for IMMEDIATE consideration mtrubitt@alinestaffing.com Apply tot his job Apply To this Job