Nov 30, 2023
Overview: Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Senior Registered Nurse . *** Candidate must be authorized to work in USA without requiring sponsorship *** ************************************************************************* *** Location: Long Beach, CA (100% Remote acceptable) *** Duration: 6 months contract w/ possibility of extension or conversion to FTE role Notes: Work Schedule: 8:00am - 5:00pm Pacific Time. 100% remote acceptable. Description: Ensures proper procedure and diagnosis codes are reviewed for submitted procedures/claims. Solicits support from SME's, leads, and managers as appropriate. Triages and prioritizes cases to meet required Turn-around times. Expedites access to appropriate care for members with urgent needs. Prepares and submits clinical review cases to Medical Director (MD) for medical director oversight and necessity determination. Communicate...
Amerit Consulting
Long Beach, CA, USA