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Concurrent Review Nurse 1

A Line Staffing Solutions

This is a Contract position in Sault Sainte Marie, MI posted January 12, 2022.

Telephonic Concurrent Review Nurse openings with a major health insurance / managed care company based in the Atlanta GA 30339 area Starting ASAP Apply now with Luke H.

at A-line Position will be in Atlanta with remote workplace flexibility based on performance Job Summary: Role responsibilities: Daily tasks include reviewing authorizations for Medical Necessity.

Data entry of clinical information into the system.

Verifying member eligibility.

Completing clinical reviews based on authorization guidelines within established turnaround time.

Sending and receiving faxed documentation for assigned hospitals.

Completing forms and responding to phone, email, and/or fax communication regarding assigned members.

Review and manage IP census daily.

Describe the performance expectations/metrics for this individual and their team: Complete 12-20 clinical reviews daily Minimal errors in a fast-paced environment What previous job titles or background work will in this role?

Utilization Review Nurse Precertification Nurse (Back office or Hospital) Previous experience with GA Medical portal or commercial insurance Pay Rate: $30
– $40 per hour (determined on experience) Hours: 8: 00am-5: 00pm Mon-Fri (occasional Saturday and Holiday ½ day) Required Experience: Must have 2 years of clinical nursing experience including Discharge Planning (Hospital to Home) Acute care, Med/Surg, or ICU experience.

Must have 2-4 years Case Management and/or Utilization/Concurrent Review Experience Must have an active license in the State of Georgia as an RN or LVN Must have an Associate’ s degree in Nursing.

Need proficient Computer skills: Experience with Electronic Medical Record); Experience with Word and Excel Preferred Experience: Certified Case Manager (CCM) is a plus InterQual System experience is a HUGE plus Knowledge of healthcare and managed care Previous experience in a similar role (Hospital or Health Plan) Bachelor’ s degree in Nursing highly preferred.

Why Apply with A-Line?

Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours Monday through Friday, 40 hours per week Competitive Pay Rate ?

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