Clinical - Clinical Review Nurse - Concurrent Review

Position Title: Clinical Review Nurse - Concurrent Review

Work Location: Remote

Assignment Duration: 9 months

Work Arrangement: Remote Work

Schedule: 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

Position Summary: Denial Letters for FL Medicaid Physical Health Codes

• Key Responsibilities:
• Denial Letters for FL Medicaid Physical Health Codes
• Daily Points are the measurement of production
• Must meet 95%-105% production after training period
• Will work within TruCare Classic
  
  
  
  
  
  

  Candidate Requirements
  Education/Certification	Required: Required: Highschool Diploma, Nursing Degree- Associates or Above	Preferred:
  Licensure	Required: Compact Nursing License-RN, LPN, LVN.	Preferred:
  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	1	Ability to complete work independently and with minimal supervision after training.
  2	Team player
  3	Great organizational skills