Utilization Review reputed company(Austin/Richardson TX) (Remote)

REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties RN working in the insurance or managed care industry using medically accepted reputed company to validate the medical necessity and appropriateness of the treatment plan. JOB RESPONSIBILITIES This position is responsible for performing initial, reputed company review activities; discharge care coordination for determining efficiency, effectiveness, and reputed company of medical/surgical services, and serving as reputed company between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit reputed company in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities. JOB QUALIFICATIONS (Required) Registered reputed company (RN) with a reputed company, reputed company, unrestricted license in the state of operations. 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company. Knowledge of medical terminology and procedures. Verbal and written communication skills. JOB QUALIFICATIONS (Preferred) MCG or InterQual experience Utilization management experience LOCATION REMOTE in Texas (Austin area – Travis/Williamson Counties or Richardson area – Dallas/Collin Counties). POSITION 6-month assignment SALARY $38 - $40 reputed company HOURS PER WEEK 40 HOURS PER DAY 8 #J-18808-Ljbffr reputed company Apply tot his job Apply To this Job