Florida Licensed Preservice Review Nurse - job 1 of 3

Job Summary

A company is looking for a Preservice Review Nurse RN - Remote.

Key Responsibilities

• Perform clinical coverage review services, interpreting state and federal mandates and relevant clinical information
• Collaborate with a self-directed team to meet performance metrics and communicate benefit determinations
• Engage in telephonic discussions with healthcare providers and members regarding coverage determinations and clinical information

Required Qualifications

• Current unrestricted RN license in the state of residency
• Professional experience in direct patient care
• Demonstrated proficiency in computer skills including Excel and clinical platforms
• Designated secure workspace with access to high-speed internet
• Flexible with work hours, including a weekend rotation schedule