• The Judge Group
  • $75,110.00 -99,350.00/year*
  • Phoenix , AZ
  • Healthcare - Nursing
  • Full-Time
  • 332 W Monroe St


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Judge Healthcare is currently hiring a remote Concurrent Review/Prior Authorization Nurse to work 100% from home for a premier Managed Care Company.

MUST BE LOCATED IN EITHER ARIZONA, NEVADA, WASHINGTON, OR OREGON

This position is servicing Tricare beneficiaries and is a great opportunity helping out veterans and current service members.

Position Purpose: The Care Manager I is responsible for providing care management services to beneficiaries with planned admissions to acute care hospitals, or to those transitioning from case management or disease management programs. Systematically identifies and addresses fragmented care for patients with acute, real-time needs and tailors interventions and services to fill gaps and produce optimal clinical outcomes cost-effectively.

Qualifications:

  • Education/Experience: Graduate of Nursing program, BSN Degree preferred
  • Previous government clearance preferred
  • Managed Care Experience required
  • Recent prior authorization or concurrent review experience within a managed care setting preferred
  • United States Citizenship
  • Ability to obtain favorable adjudication following submission of Department of Defense form SF86
  • Strong preference for RNs who are familiar with Tricare or who have worked at the VA or Airforce in the past or know someone that has worked in the military/veterans

If this seems like a position you are interested in please send an updated resume to Nicole at [Click Here to Email Your Resum ] or call her directly at 610-###-####




    Associated topics: domiciliary, infusion, intensive care unit, mhb, nurse clinical, psychatric, registed, staff nurse, surgical, transitional

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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