As a Remote Arizona Licensed RN Care Reviewer, the full-time salaried position will manage the medical appropriateness of requested services for Medicare Advantage and AHCCCS members, ensuring optimal care transitions and collaborating with interdisciplinary teams while working Monday through Friday, 8 am to 5 pm. Key responsibilities Assess inpatient services to ensure optimum outcomes and compliance with regulations Analyze clinical services against evidence-based guidelines to determine medical necessity Collaborate with multidisciplinary teams to promote integrated care models Required qualifications Bachelor's degree in nursing or equivalent working knowledge Active, unrestricted State Registered Nursing (RN) license in good standing Five years of clinical nursing experience or equivalent working knowledge Proficiency in medical record review and computer usage, including Microsoft Suite MCG certification or ability to obtain within six months of hire
Arizona Licensed RN Care Reviewer in workfromhome at Unknown Company
- Typical pay
- $71,760–$113,550
For context, most registered nurses earn between $71,760–$113,550 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.