Licensed Practical Nurse - Night Shift - Health Care

Join to apply for the DFW Pre-Cert Nurse/UR Nurse role at Nexus
Join to apply for the DFW Pre-Cert Nurse/UR Nurse role at Nexus
PreCert Nurse - LVN Utilization Review Nurse (Administrative Nursing)

Are you looking for a challenging and impactful nursing career that will diversify your nursing skills? If you enjoy working in a positive environment, Nexus has the solution for you with an exciting nurse administrative role! PreCert Nurse - LVN Utilization Review Nurse (Administrative Nursing)

Are you looking for a challenging and impactful nursing career that will diversify your nursing skills? If you enjoy working in a positive environment, Nexus has the solution for you with an exciting nurse administrative role! Nexus is dedicated to connecting quality healthcare professionals with the outcome needs of our partners in the health, insurance, and legal industries. The heart of our drive for quality and excellence rests in our unflinching integrity; we bend over backwards to provide the best possible service but will never bend our integrity. These are people in need of the best, most accurate, medical care possible and we are tasked with ensuring they receive it in an efficient and cost-effective manner. We offer competitive compensation and fantastic benefits, as well as a collegial workplace in a casual dress environment. Someone who is willing to learn and grow in a different sector of the nursing field.

Positive work environment, offering multiple work schedules and shift differential
On-site fitness center, showers, nursing mothers’ rooms, snack bar, state of the art lounge, ergonomic workspace, and filtered water refill stations
Exceptional benefits to include paid time off, health, dental, vision, disability, life insurance, holiday pay, parental leave, employee assistance and wellness programs and 401(k)
Incentive programs for high quality performance
Extensive training throughout the onboarding process
The primary function of the PreCert Nurse is to effectively review and analyze medical records of patients in need of care and create executive reports that are submitted to a physician for review. Perform a review of services for medical appropriateness utilizing pre-approved criteria and guidelines to validate medical necessity/appropriateness of treatment (e.g., ODG, MTUS, Milliman Care Guidelines, InterQual)
Audit and analyze patient records to ensure quality patient care and necessity of services
Enter and maintain pertinent clinical information in various medical management systems
Maintain knowledge of regulatory requirements (i.e., Facilitate cost effective and quality patient care by effective communication with managerial team, physicians, and Medical Director

Ability to communicate professionally with physicians and clients
Ability to multi-task and quickly adapt in a fast-paced office environment
Experience with Microsoft products: Word, Excel, PowerPoint, Outlook
Education, training or professional experience in medical and/or clinical practice
Current LVN/RN license, without restrictions, from an accredited vocational nursing program (LVN) or a degree in nursing (RN) from an accredited college

3-5 years of clinical nursing experience (preferred)
Knowledge of ODG, MTUS, Milliman Care Guidelines, InterQual (preferred)

Employment type Employment type Full-time
Job function Job function Health Care Provider
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