Care Review Clinician I- NY RN Job at Anchor Staffing Inc. in New York

THIS ROLE IS REMOTE HOWEVER YOU MUST RESIDE IN NY WITH AN ACTIVE RN LICENSE TO BE CONSIDERED FOR THE ROLE. 

Day to Day Responsibilities:
Care Review Clinician will assist with all UM standard Inpatient, Outpatient and Custodial Care processes and workflows. Assist with any requests, verbal notifications for denials/partial denials to both member and provider, participation in IDTs, personal queue management and clinical reviews. Meet expected productivity and performance productivity expectations are set a by the company based on the local HP time studied performance. Standard full capacity and performance reviews expectations is 30 cases a day – there will be a 6-8 week ramp up period to full capacity post successful completion of new hire and HP specific training.

Job Requirements 

• A valid and unrestricted RN license in the state New York. 
• 2 years of utilization management experience 
• Computer Savvy
• Advanced in Microsoft Offices such as Word, Outlook, and Excel 
• A secure workspace including the basic necessities: Desktop/Laptop. Headset, Mouse. 

For immediate consideration email Keyera with your resume to kwest@anchorstaffing.com