California Licensed Nurse RN III

A company is looking for a Nurse RN III.

Key Responsibilities

Review medical necessity for various levels of care using clinical knowledge and established guidelines

Render authorizations or denials within required regulatory turnaround times

Collaborate with case managers and medical staff while accurately documenting review outcomes

Required Qualifications

Current, valid California Registered Nurse (RN) license

Strong hands-on clinical background with direct patient care experience

Proficiency with computers, including Microsoft applications and electronic medical records (EMR)

Ability to work independently in a remote environment and manage daily tasks effectively

BSN preferred but not required