About this role
Medical Reviewer III - Home Health and Hospice at CGS Administrators. Location: Nashville or Georgia or Vermont or Utah or Texas or Washington or Idaho or Virginia or West Virginia or Wyoming or Wisconsin or Illinois or Arkansas or California or Colorado or Connecticut or Delaware or Kentucky or Maine or Maryland or Indiana or Minnesota or Michigan or Iowa or Massachusetts or Kansas or Mississippi or Missouri or Montana or Nevada or Nebraska or New Jersey or Louisiana or New Hampshire or New Mexico or New York or North Carolina or South Carolina or South Dakota or North Dakota or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or Alabama or Arizona or Florida or Tennessee. Role: performing reviews, documenting decisions, educating staff Requirements: Active unrestricted RN licensure in state of hire (or NLC), associate degree or nursing graduate, minimum 3 years clinical/medical review experience (2 clinical+1 utilization or 3 clinical), Microsoft Office skills, strong clinical and analytical abilities. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office, Microsoft Excel, Microsoft Access Certifications: rn, nlc Commitment: Full Time Workplace: Remote Languages: English