✨ About The Role
- This role involves utilizing clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members.
- The position requires gathering clinical information and applying appropriate clinical criteria to make coverage determinations.
- Communication with providers and other parties is essential to facilitate care and treatment for members.
- The job includes identifying members for referral opportunities to integrate with other products and services.
- The role is primarily remote, with a typical work schedule of Monday to Friday from 8 AM to 5 PM EST, including occasional evening and weekend coverage.
âš¡ Requirements
- The ideal candidate will have at least 3 years of experience as a Registered Nurse, demonstrating a strong clinical background.
- Candidates should possess an active and unrestricted RN licensure in their state of residence.
- Experience in an acute or post-acute setting for at least one year is essential for this role.
- Strong communication skills, both verbal and written, are necessary to effectively interact with providers and other parties.
- The ability to multitask and prioritize in a fast-paced environment is crucial for success in this position.