Actalent Nurse Clinician in Knoxville, Tennessee
Actalent is looking for a Registered Nurse for a Remote position.
Reviewing Cases that are assigned daily
Expected to review 18 cases a day
Must be able to work independently and handle multiple tasks
Proficient in interpreting benefits, contract language specifically symptom-driven, treatment driven, look back periods, rider information and medical policy/medical review criteria preferred
Will field calls from providers to review cases for denial/approval
3+ years as a Registered Nurse
1+ year of Hospital Experience
Experience with Utilization Review, DME, or Ortho.
Compensation is tied to the Colorado market for jobs
performed in Colorado. Other locations may be subject to variances based on locations-related factors.
We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification.
Eligibility requirements apply to some benefits and may
depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following:
Medical, dental & vision
Insurance (Basic/Supplemental Life & AD&D)
Short and long-term disability
Health & Dependent Care Spending Accounts (HSA & DCFSA)
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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