Nurse Clinician

  • Location
    Memphis , Tennessee
  • Category
    Medical & Science - Nursing
  • Job type
    Contract/Temporary

A Nurse Clinician job in Memphis TN is available courtesy of Adecco Medical & Science.
Nurse Clinician job responsibilities include:


-Looking for someone who has done Utilization review before. Home Health experience would be great.
-Skills/experience that would be nice to have but not necessary include Case Management experience, Acute Care experience, and Hospital experience.
-Day to day responsibilities would be receiving requests from providers or agencies, review medical documentation, apply Milliman criteria and make a decision to approve it or not. If approved they will call the provider and let the m know what exactly has been approved.
-This position is supporting BlueCare which is Medicaid products.




QUALIFICATIONS:

Minimum of an Associates’ Degree in Nursing (Bachelors’ degree preferred)
Proficient knowledge and ability to apply various accreditation requirements (URAC, NCQA, etc.) preferred
Proficient in interpreting benefits, contract language specifically symptom-driven, treatment driven, look back periods, rider information and medical policy/medical review criteria preferred

If you are interested in this Nurse Clinician job in Memphis TN then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com.

If you have questions about the position or would like more information please contact Hari Dhurjaty at 585-613-3037 or by email at hari.dhurjaty@adeccona.com

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_2_101083_320582