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Healthcare - Care Review Clinician I

Remote: 
Full Remote
Work from: 
United States

Offer summary

Qualifications:

Must possess VA RN License, Compact nursing license preferred.

Key responsabilities:

  • Outpatient prior authorization review
  • Assessing medical necessity requests

Saviance Technologies Pvt. Ltd. logo
Saviance Technologies Pvt. Ltd. SME https://saviance.com/
51 - 200 Employees
About Saviance Technologies Pvt. Ltd.
Saviance Technologies is a US Healthcare IT Service provider focusing on Patient Engagement with Innovative Products and Solutions like Patient Intake Tablet, iHealthConnect Wellness Portal, Mobile Applications, Actionable Analytics and ICD-10 Testing Services. Incorporated in 1999 in New Jersey, with over 15 years of excellent industry track record, Saviance offers services & solutions that enable enterprises to achieve critical objectives. Saviance is a Gold Category Corporate Member with Healthcare Information Management Systems Society (HIMSS), member of mHealth Alliance and Corporate member of NJ-HITEC. We are awarded by INC. 5000 as one of the fastest growing privately held companies in North America. Saviance is also ranked among the Fast 50 Asian American Businesses in the United States by USPAACC (US Pan Asian American Chamber of Commerce) and selected as a 2014 "Top Business"​ recipient byDiversityBusiness.com. A certified Minority Business Enterprise recognized by NMSDC, Saviance is also partner with leading global brands such as Microsoft, Amazon Web Services, Apple, Samsung and Red Hat.
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Job description

Job Description: • Will the position be 100% remote? YES
• Are there any specific location requirements? As part of Molina enterprise-wide initiative leadership has requested that all candidates moving forward are sourced from the following geographical locations: AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI.
• Are there are time zone requirements? Working EST hours.
• What are the must have requirements? VA RN License
• What are the day to day responsibilities? Outpatient Prior authorization Utilization Review. Reviewing requests for medical necessity. (please let me know if you need more elaboration)
• Is there specific licensure is required in order to qualify for the role? Must have a VA or compact nursing license.
• What is the desired work hours (i.e. 8am – 5pm) 8am – 5 pm EST
• What additional equipment besides a laptop, keyboard, mouse and headset will be required for this candidate to be successful in this role? (see below) Position will require 1 additional monitor.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Medical NecessityUtilization ManagementPrior Authorization
Are you interested?

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