Clinical Review Nurse - Case Manager RN

IMCS Group is an IT, Healthcare, and Professional Staffing Company that helps Enterprises optimize the business value of their Staffing investments and enables them to achieve world-class business performance. IMCS Group supports strategic and operational aspects of IT implementations to help businesses implement growth strategies and leverage technology to achieve competitive advantage. In addition, IMCS provides hospitals and medical facilities with high-quality clinical professionals with the highest standards and compliance to provide the best medical care. At IMCS Group, quality and efficiency are of paramount importance. Our consistent growth, many successful customer engagements, and high customer retention are the hallmarks of our success. In addition, our passion for taking complex business processes and simplifying them by applying the right technology has been the key to our success. At all times, IMCS ensures the highest standards of quality in providing resources, time, and material to design, implement, and support to keep organizations operating efficiently.

Job Title: Clinical Review Nurse - Prior Authorization Duration: 06 months Contract (Potential to Extend) Desired Start Date- End Date: 8/4/2025 - 2/4/2026 Location: Remote- Ohio Shift Type: 8am-5pm

Review of prior auth requests for Medicaid Line of Business. To assist the PA Team reviewing a backlog of requests from providers. Biweekly team huddles (virtual), and attention to emailed team instructions, proficient in toggling between multiple systems. Additional business needs for support Quality documentation Timely processing of up to 18 authorizations per day on average.