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Position Title: Clinical Review Nurse - Concurrent Review
Work Location: Remote-Texas- CST
Assignment Duration: 6 months
Schedule: working Saturday & Sunday - would then pick their two consecutive days they do not want to work (Monday, Tuesday) (Tuesday, Wednesday) (Thursday, Friday) working remainder of the week Position Summary:Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Background & Context:
The Organization requires a Texas RN to support clinical review functions. Key Responsibilities:
* Top 3 must-have hard skills stack-ranked by importance
* Multitasking
* Fast learner
* Computer savvy Qualification & Experience:
* Required: Graduate from an Accredited School of Nursing or bachelor's degree in nursing
* Preferred: 2 - 4 years of related experience- 4 years is preferred
* Required: Texas RN
* Years of experience required: UM experience preferred not required
* Disqualifiers: Less than 2 years of nursing experience, no LPNs
* Additional qualities to look for: Multitasking, fast learner, positive, and be computer savvy.
| Candidate Requirements |
| Education/Certification |
Required: Graduate from an Accredited School of Nursing or bachelor's degree in nursing |
Preferred: 2 - 4 years of related experience- 4 years is preferred |
| Licensure |
Required: Texas RN |
Preferred: |
Years of experience required: UM experience preferred not required
Disqualifiers: Less than 2 years of nursing experience, no LPNs
Additional qualities to look for: Multitasking, fast learner, positive, and be computer savvy. |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
Multitasking |
| 2 |
Fast learner |
| 3 |
Computer savvy |
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