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Registered nurse TX
Registered nurse TXVDart Inc • Austin, Texas, USA
Registered nurse TX

Registered nurse TX

VDart Inc • Austin, Texas, USA
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Role : Registered Nurse

Location : Austin TX

Responsibilities :

Offering Description :

  • MUST BE ABLE TO WORK 10A to 7P SHIFT. No direct patient cares.
  • 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.

Process Description :

RN conducts preservice concurrent retrospective reviews. Collaborate with healthcare providers promote quality member outcomes optimize member benefits promote effective use of resources. Ensure medically appropriate high-quality cost-effective care through assessing medical necessity of outpatient services out of network services and appropriateness of treatment setting within scope of professional limitation.

Skills Description

  • Utilize the applicable rules of the Texas Administrative Code TAC.
  • Review Medical Necessity requirements.
  • Would be nice to have skills :
  • Microsoft Word
  • Excel
  • Would be nice to have skills :
  • Work and Excel
  • Roles and responsibilities :

  • 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.
  • Key Skills

    EMR Systems,Hospital Experience,Acute Care,ICU Experience,Hospice Care,Workers' Compensation Law,Home Care,Nursing,Catheterization,Critical Care Experience,Medication Administration,Tube Feeding

    Employment Type : Full Time

    Experience : years

    Vacancy : 1

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    Registered Nurse • Austin, Texas, USA

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