California Licensed Preservice Review Nurse

A company is looking for an RN, Preservice Review Nurse - Remote. Key Responsibilities Perform utilization and concurrent review using CMS, Medicare, Health plan, and MCG criteria Gather clinical information to assess and expedite care needs Communicate with appropriate UM team member to troubleshoot difficult or complex cases Required Qualifications Unrestricted, active RN license in the state of California 2+ years of RN experience in an acute setting Ability to use a PC in a Windows environment, including MS Word

Apr 25, 2025 - 05:04

A company is looking for an RN, Preservice Review Nurse - Remote. Key Responsibilities Perform utilization and concurrent review using CMS, Medicare, Health plan, and MCG criteria Gather clinical information to assess and expedite care needs Communicate with appropriate UM team member to troubleshoot difficult or complex cases Required Qualifications Unrestricted, active RN license in the state of California 2+ years of RN experience in an acute setting Ability to use a PC in a Windows environment, including MS Word