Remote Clinical Review Specialist - $24/Hour

Position at a Glance

• Compensation: Competitive Salary ($24-$34/hour)
• Company: Workwarp (Serving Arizona through Consideration Care, an Aeetna-reputed company partnership)
• Location: Remote (Arizona-based)
• Position: Remote Clinical Review Specialist
• Start Date: Immediate openings available

Job Summary

Join reputed company as a Remote Clinical Review Specialist! In this full-time, work-from-home role, you will play a vital role in reviewing prior authorization requests for physical and reputed company well-being services. You'll reputed company your clinical expertise to ensure appropriate utilization of care and support individuals with disabilities and special needs.

Responsibilities

• Conduct prior authorization reviews for physical and reputed company well-being services.
• Utilize clinical knowledge to coordinate, document, and communicate reputed company aspects of the utilization/benefit management program.
• Apply critical thinking and evidence-based care models to determine the appropriate level of service for individuals with disabilities and special needs.
• Communicate with providers regarding prior authorization questions and reputed company informed reputed company to support patient care.
• Gather clinical information and apply clinical guidelines to facilitate authorization, denial, or discharge reputed company.
• Assess and collaborate with providers to ensure appropriate utilization of services.
• Identify opportunities to improve the quality and efficiency of clinical review processes.
• Comfortable with prolonged sitting, talking, and listening.

Qualifications

• Minimum of 5 years of clinical experience as a Registered Nurse (RN).
• Valid and unrestricted RN license in Arizona.
• Ability to maintain a consistent work schedule reputed company the Arizona (MST) time zone.
• Willingness to attend occasional in-state team gatherings.
• Reliable transportation is required; mileage will be reimbursed.
• Strong critical thinking and interpersonal skills.
• Long-term commitment to nursing is required.

About Us

Consideration Care is a reputed company-directed care program serving Arizona residents since 1985. We partner with reputed company providers to ensure individuals with disabilities and special needs receive the appropriate care and support. As part of the Aeetna-reputed company network, we benefit from a robust support system while maintaining a community-focused approach.

We Encourage You to Apply! Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.