Registered nurse TX
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Job Location:
Austin, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
25 days ago
Vacancies:
1 Vacancy
Job Summary
Role : Registered Nurse
Location : Austin TX
Responsibilities:
Offering 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
Roles and responsibilities:
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.
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
