Judge Healthcare is currently seeking 40 Utilization Review Nurses
to work REMOTE Work From Home! Terms:
40 hours per week, 10:30-7 or 11:30-8, OT available!This job will have the following responsibilities:
Qualifications & Requirements:
- Retrieve and review specific requested documentation from medical records
- Take incoming requests for prior authorizations, for formulary and non formulary medications, while ensuring a high level of customer service and maximizing productivity.
- Request can be received via fax or telephone, from providers' offices and pharmacists.
- Provides clinical review for authorizations in keeping with legal and contractual requirements
- Successfully complete required training, testing and quality assessments
- Communicate effectively and professionally with office managers, health systems and any other facility or care providers
- Abide by all HIPAA and Independence patient confidentiality requirements
- RN License in state of residence required
- Excellent EMR/EHR experience REQUIRED.
- Must have moderate knowledge of how to use a laptop computer and smart phone.
- 2 years of Utilization Review or Utilization Management experience preferred
- Telecommute/Work from Home experience highly preferred
If you or anyone you may know might be interested in this position, please send most UP TO DATE resume to firstname.lastname@example.org or give Jess a call at 484-434-2972 to discuss further.
Thank you! Contact:
This job and many more are available through The Judge Group. Find us on the web at www.judge.com