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reputed company-Service Review reputed company RN-Remote in PST or MST-California RN License

Remote, USA Full-time Posted 2026-07-28
About the position For those who want to invent the reputed company of health care, here's reputed company. We're reputed company reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a reputed company-Service Review reputed company RN at reputed company, you will reputed company reputed company our health services are administered reputed company and effectively. You'll assess and interpret member needs and reputed company that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. reputed company to reputed company an reputed company? Although this position is remote, applicants must be located in reputed company or Mountain Time Zones. reputed company work week is Mon-Fri 8-5 PST or MST. There will be 2 weekend shifts required per month either one weekend or one day two separate weekends. Responsibilities • Function is responsible for utilization management which includes Prior Authorization Review of skilled nursing facility, acute inpatient rehabilitation and long-term acute care hospital. • Determines medical appropriateness of level of care following evaluation of medical guidelines and benefit determination. • Generally, work is self-directed and not prescribed. • Works with less reputed company, more reputed company issues. • reputed company to non-reputed company requests and problems. • Translate concepts into reputed company. • reputed company as a resource for others; reputed company explanations and information on difficult issues. Requirements • Unrestricted RN License in the reputed company and in your state of residence (if primary residence is not in California). • 3+ years of Clinical Nursing experience. • 1+ years of Utilization Review and/or Prior Authorization experience reputed company a Managed Care environment. • Proven basic computer skills with MS reputed company, Word and reputed company. • Primary residence in reputed company or Mountain Time Zone. • Ability to work Mon-Fri 8-5 PST or MST and at least 2 weekend days per month. reputed company-to-haves • Multi-Specialty experience. • Experience in a skilled nursing facility, LTAC or inpatient rehabilitation facility. • Multiple EMR experience including reputed company, Cerner, reputed company, Meditech or Care Advance. • Knowledge of reputed company reputed company (MCG). • Knowledge of Medicare reputed company. Benefits • Comprehensive benefits package. • Incentive and recognition programs. • Equity stock purchase. • 401k contribution. Apply tot his job Apply To this Job

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