Fully Remote Clinical Review Nurse

Job Description

Job Description...

A-Line is now hiring a Fully Remote Clinical Review Nurse in California (Must reside in state). This would be full time / 40+ hours per week.

If you are interested in this Fully Remote Clinical Review Nurse position, please email Heather Foret [email protected], call Heather at 847-798-6487, or apply to this posting!

Clinical Review Nurse Compensation
? The pay for this position is $40.00 per hour
? Benefits are available to full-time employees after 90 days of employment
? A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Clinical Review Nurse Highlights
? Hours are Monday through Friday 8am ? 5pm PST

Clinical Review Nurse Responsibilities
? Review concurrent and continued stay requests to ensure appropriate care and setting, following established guidelines and policies.
? Approve services or escalate requests to the Physician or Medical Director for secondary review.
? Complete medical necessity and level of care assessments for requested services using InterQual guidelines, referring to Medical Directors based on case findings.
? Collaborate with staff within provider networks and the discharge planning team, both electronically and telephonically, to coordinate member care.
? Conduct discharge planning activities to facilitate effective transitions of care.
? Educate providers on utilization and medical management processes.
? Provide clinical knowledge and serve as a resource to non-clinical team members.
? Enter and maintain relevant clinical information in various medical management systems.

Clinical Review Nurse Requirements
? High School Diploma or GED
? 2-4 years of hospital, Managed care, or UM experience
? Graduate from an accredited School of Nursing ? California RN
? Microsoft experience and EMR experience

If you think this Fully Remote Clinical Review Nurse is a good fit for you, please reach out to me by e-mail, or apply to this posting!

Heather Foret ? Recruiting Assistant

[email protected]

Apply Job!