Clinical Review Nurse Concurrent Review
Pacer Group
Title: Clinical Review Nurse Concurrent Review
Location: Remote
Duration: 12months (Potential Extension)
Shift: Friday-Tues, 2 pm-10 pm CST, 40 hours/week.
So, either five 8-hour shifts until 10 PM EST, Friday-Tues, OR four 10-hour shifts until 10 pm EST, Sat-Tues
XXXX: XXXXXXXXXXX to XXXXXXXXXXX an hour
Description :
Typical Day in the Role
- Denial Letters for FL Medicaid Physical Health Codes
- Daily Points are the measurement of production
- Must meet 95%-105% production after training period
- Remote Work,
- Will work within TruCare Classic.
Education/Certification Required : Highschool Diploma, Nursing Degree- Associates or Above
Licensure Required : Compact Nursing License-RN, LPN, LVN.
Years of experience required: 1+ years,
Disqualifiers : Inability to work possible weekend hours and holidays on a rotation basis as applicable or needed by business needs
Additional qualities to look for : MCO experience, specifically with Medicaid, True Care Cloud experience is a bonus, experience working remote.
Top 3 must-have hard skills stack-ranked by importance
- Ability to complete work independently and with minimal supervision after training.
- Team player
- Great organizational skills
Vacancy posted 3 days ago
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