Clinical Review Nurse Job at MRI, Dallas, TX

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  • MRI
  • Dallas, TX

Job Description

Job Description

Job Description

*** THIS POSITION IS FULLY REMOTE ***

*** Must Be An RN and Have Utilization Management Experience ***

 

Day to day responsibilities of this the role and a description of the project:

  • They will be responsible for looking over handwritten and computer-generated documents while prioritizing tasks effectively. TX has a very tight time frame and authorization reviews are expected to be completed within 1 business day.
  • If criteria does not meet medical necessity for an inpatient stay, the nurse is expected to send to a medical director for review.
  • If an authorization is denied the nurse will be expected to follow up with UM department (by phone/fax) at hospital to offer a peer to peer before sending an official denial
  • The nurse is expected to work about 12-20 auths per day. They will get a mixture of new and concurrent reviews. The goal is to reach individual hourly weighted productivity of 2.49-3.21 in order to meet expectations.
Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Job Tags

Hourly pay,

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