Clinical Reviewer - Nurses work from home (Colorado Springs, CO) at / RN Jobs

This job ad has been posted over 40 days ago...

applicants

Clinical Reviewer - Nurses work from home (Colorado Springs, CO)

at in Colorado Springs, CO

CareCore National, a specialty benefit management company, manages quality and utilization of outpatient diagnostic and cardiac imaging, cardiac implantable devices, oncology drugs and therapeutic agents, radiation therapy, sleep, pain and lab services. With a comprehensive and diverse portfolio of offerings, we provide seamless solutions to health plans that seek to manage these specialty health care segments more effectively.
Our Focus
CareCore National provides physicians with access to the latest evidence-based criteria and works collaboratively with providers to improve the way care is delivered to patients. We focus on appropriateness to ensure that health plan members receive the right procedure for their clinical situation. We achieve this by employing state-of-the-art technology and evidence-based criteria. All CareCore National programs improve quality, streamline patient care and reduce cost.
CareCore National is looking for energetic clinical reviewers to perform clinical-certification activities, such as capturing telephone requests for authorization of radiology services from physician offices/and or imaging centers, evaluating requests against established clinical protocols and authorizing services or referring requests for expert clinical review as appropriate.
Requirements: Registered Professional Nurse or Licensed Practical Nurse. Managed care experience preferred but not required. At least two years experience is preferred. The successful candidate will also possess strong computer skills, a minimum typing speed of 30 words per minute, and demonstrate excellent customer service.
We offer. . .
Â· Three weeks of paid time off in your first year
Â· Health & Life Benefits
Â· 401(k) & company paid retirement benefit
Drug Free Workplace & EOE Location: Colorado Springs, CO
Compensation: $20 per hour or case rate making up to 60K to 80K
Telecommuting is ok.
Principals only. Recruiters, please don't contact this job poster.
Please, no phone calls about this job!
Please do not contact job poster about other services, products or commercial interests.

» Apply now