Wisconsin Licensed Preservice Review Nurse

A company is looking for a Preservice Review Nurse RN to perform clinical coverage review services remotely. Key Responsibilities Perform clinical coverage review services, interpreting mandates and clinical information Collaborate with a self-directed team to meet performance metrics Engage in telephonic discussions with healthcare providers and members regarding benefit coverage determinations Required Qualifications A current unrestricted RN license in the state of residency or compact state Professional experience in direct patient care Proficiency in computer skills, including Excel and clinical platforms Exemplary clinical documentation skills and critical thinking skills Designated secure workspace with access to high-speed internet

Feb 27, 2025 - 12:26
 0
Wisconsin Licensed Preservice Review Nurse
A company is looking for a Preservice Review Nurse RN to perform clinical coverage review services remotely. Key Responsibilities Perform clinical coverage review services, interpreting mandates and clinical information Collaborate with a self-directed team to meet performance metrics Engage in telephonic discussions with healthcare providers and members regarding benefit coverage determinations Required Qualifications A current unrestricted RN license in the state of residency or compact state Professional experience in direct patient care Proficiency in computer skills, including Excel and clinical platforms Exemplary clinical documentation skills and critical thinking skills Designated secure workspace with access to high-speed internet