***Fully Remote in Texas***
**Registered Nurse**
Walk me through the day-to-day responsibilities of this the role and a description of the project:
- The nurse will be reviewing about 20 cases a day to review for medical necessity on a member that admits to the hospital. Job is to advocate and protect the member from unnecessary admissions to the hospitals. Nurse has to follow many changes and processes to complete the authorizations. Will be working with a group of nurses to assist each other and collaborate on getting the cases done. The nurse will be in contact with doctors and case managers to achieve decisions and/or receive more information about the member’s condition/status. Nurse will be using multiple resources we have to achieve successful completion of the cases.
Describe the performance expectations/metrics for this individual and their team:
- About 20 cases a day need to be done daily. Have to be timely every day. Clearly communicate with leader if unable to come in for work or coming in late.
What previous job titles or background work will in this role?:
- Strong medical experience in ICU preferred.
Preferred Skills/ Experience:
- UM
- Clinical/managed care experience