RN - Chart Review - RN25-30718 Job at NavitsPartners, Phoenix, AZ

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  • NavitsPartners
  • Phoenix, AZ

Job Description

Job Title: RN - Chart Review

Location: Phoenix, AZ 85034

Type: Contract

Shift: Monday-Friday, 8:00 AM - 5:00 PM (40 hours/week, no weekends, overtime not currently approved).
Pay Rate: $30-$33/hr

Job Summary:

"Navitas Healthcare, LLC" is seeking RN - Chart Review for an exciting job in Phoenix, AZ.

Requirements:
  • Active RN license.
  • Behavioral Health experience (outpatient preferred).
  • Fingerprint clearance card preferred; if not current, initiation will be required.
  • Ability to work remotely with provided computer setup.
Responsibilities:
  • Review and adjudicate medical claims using industry standards.
  • Evaluate claims against prior authorizations and UB claims.
  • Determine appropriate level of care and length of stay for recipients.
  • Prepare reports and analyze trends and savings.
  • Conduct special projects and research as required.
  • Collaborate with other departments and healthcare providers as needed.
Required Knowledge & Skills:
  • Medical nursing practice and case management protocols.
  • Quality management and utilization review processes.
  • Knowledge of healthcare delivery systems and managed care processes.
  • Acute nursing processes: assessment, planning, intervention, and evaluation.
  • InterQual Criteria, CCI, CPT, HCPCS, and ICD-9 coding.
  • Medical claims review and statistical analysis.
  • Computer data retrieval and input.
  • Interpretation of governmental regulations and rules.
  • AHCCCS rules and regulations.

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job Tags

Contract work, Remote work, Shift work, Monday to Friday,

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