Pacer Group
Founded in 2008, PACER is a Minority Woman-owned Global Staffing firm serving Fortune 500 Clients with customized and scalable workforce solutions. With our Account Management integrated into our service delivery processes, we provide our clients with staffing solutions that are transparent and robust irrespective of the industry they function in.
Title - Clinical Review Nurse- Prior Authorization Duration - 6 months | Possibility to extend Shift - 8 am- 5 pm Location - Remote OH Pay rate: $35.00-42.00/hr
Must Haves: Computer skills, medical knowledge, Care manager or clinical nursing experience Word, Excel, Virtual meeting skills MS outlook and EMR systems Nice To Haves: Works well for this role: Prior Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or Quality Assurance Nurse Critical thinking skills good people skills and able to communicate needs Comfortable with provider interaction Disqualifiers: not having the requirements mentioned, remaining disqualifiers TBD during interview Performance indicators: (Meet expectations) Quality documentation, timely processing of up to 18 authorizations per day on average, team player with positive attitude Top 3 RN/LPN licensed professional Comfortable toggling between multiple computer systems Very agile and comfortable in fast paced environment Prior Authorization experience Education: Graduate from an Accredited School of Nursing or Bachelorās degree in Nursing and 2 ā 4 years of related experience. Licensure: Nursing Licensure
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Clinical review and documentation of medical request for prior authorization of medically necessary services, sitting in front of a computer for 8 hours with allowance for breaks and 1 hour lunch, biweekly team huddles (virtual), and attention to emailed team instructions, proficient in toggling between multiple systems BHP Prior Authorization Clinical Review Nurse Biweekly team huddles (virtual), and attention to emailed team instructions, proficient in toggling between multiple systems Review of prior auth requests for Medicaid Line of Business. To assist the PA Team reviewing a backlog of requests from providers
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Basic
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$34
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Telehealth
$79
Everything from Starter Pack
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Telehealth
$149
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