Home   Register   Sign In
 
Company Info

Artech Information Systems LLC

360 Mt. Kemble Avenue, Suite 2000
Morristown, NJ, United States

Phone: 973.967.3408
Web Site: www.artechinfo.com

Company Profile


Texas Licensed Registered Nurse


col-narrow-left   

Job ID:

16174

Location:

Austin, TX, United States 

Category:

Nurse

Salary:

$40.74 per hour
col-narrow-right   

Job Views:

83

Zip Code:

78727

Employment Type:

Contract - W2

Posted:

07.14.2016
col-wide   

Key Skills:

Registered Nurse

Job Description:

  • The Registered Nurse conducts pre-service, concurrent/ retrospective reviews.
  • They will collaborate with healthcare providers to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources.
  • They will ensure medically appropriate, high quality, cost effective care through assessing the medical necessity of outpatient services, out of network services, and appropriateness of treatment setting within the scope of professional limitations by utilizing the applicable rules of the Texas Administrative Code (TAC), Texas Health and Human Services Commission (HHSC) approved medical policy, and industry standards, accurately interpreting benefits and managed care products.
  • They may educate providers on programs or community resources that may benefit the member.
  • The Registered Nurse will work with physicians in interpreting appropriateness of care. Conducts pre-service, concurrent/ retrospective 


© 2017 Powered by Rootjobs     About Us   Sitemap   Terms and Conditions   Privacy Policy   Mobile Version     Twitter RSS LinkedIn Facebook