Job Description

Contract: Austin, Texas, US

Salary: $40.00 Per Hour

Job Code: 322086

End Date: 2022-10-01

Job Status: Expired

We Are Hiring For Registered Nurse at Austin, TX

Client: Business Service Providing Giant

Title: Registered Nurse

Location: Austin, TX

Duration: 14 Months (possibility of extension or conversion)

Clinical Data Review - Insurance Claims - Contractor role –

MUST BE ABLE TO WORK 10A-7P SHIFT. Comprehensive Care Program Experience highly preferred:
Private Duty nursing. Home Health experience. Comprehensive Care Program Experience.

Job Description –

No direct patient care-- 8 hour shifts unless OT is needed and approved -- will have a shift between 7am and 7pm, so must be available for all shifts between that time.
The Registered Nurse conducts pre-service, concurrent/ retrospective reviews.
They will collaborate with healthcare providers to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources.
They will ensure medically appropriate, high quality, cost effective care through assessing the medical necessity of outpatient services, out of network services, and appropriateness of treatment setting within the scope of professional limitations by utilizing the applicable rules of the Texas Administrative Code (TAC)

Recruiter

Phone

Pradeep Jadoun

pradeep.jadoun@collabera.com

9735322910

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