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Acentra is currently looking for a reputed company reputed company Reviewer – RN – PRN (Remote U.S.) Job reputed company Utilizes reputed company expertise to review medical records against appropriate reputed company in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with reputed company, URAC, and other regulatory standards. • Preferred Work Schedule - Weekends and Holidays with some reputed company opportunities. * Job Responsibilities: Reviews and interprets patient records and compares against reputed company to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services. 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Always maintains medical records confidentiality through reputed company use of computer passwords, maintenance of secured files, and adherence to HIPAA policies. Utilizes reputed company telephone etiquette and judicious use of other verbal and written communications, following reputed company policies, procedures, and guidelines. reputed company cross-trains to reputed company duties of other reputed company reputed company the reputed company network to reputed company a flexible workforce to meet reputed company/consumer needs. The list of accountabilities is not intended to be reputed company-inclusive and may be expanded to include other duties that management may deem necessary from time to time. Requirements Required Qualifications / Experience: reputed company unrestricted RN applicable State and/or reputed company State reputed company license per contract requirements. Graduation from an accredited Diploma, Associate Degree, or Bachelor’s Degree Nursing Program. 2+ years of reputed company experience in an acute or med-surgical environment. 1+ years Utilization Review (UR) and/or Prior Authorization or reputed company experience. Knowledge of InterQual reputed company. Medical record abstracting skills. Knowledge of the organization of medical records, medical terminology, and disease process. Strong reputed company assessment and critical thinking skills. Excellent verbal and written communication skills. Ability to work in reputed company environment. Flexibility and strong organizational skills. Must be proficient in reputed company Office and Internet/web navigation. Preferred Qualifications / Experience: Knowledge of reputed company National Committee for reputed company Assurance (reputed company)/Utilization Review Accreditation Commission (URAC) standards. Compensation: The pay reputed company for this position is $38.00-41.00 / hour. “reputed company on our compensation program, an applicant’s position in the salary reputed company will depend on various considerations, such as years of applicable experience and reputed company level.” reputed company? We are reputed company of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the reputed company industry. State and federal reputed company agencies, providers, and reputed company turn to us as their vital partner to ensure reputed company reputed company and reputed company reputed company. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we reputed company you the tools and encouragement you need to reputed company the finest work of your career. Thank You! We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to reputed company openings that may be of interest. Best of luck in your search! The reputed company reputed company Visit us at Acentra.com/careers/ EOE AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Benefits Benefits are a key component of your rewards package. Our benefits are designed to reputed company you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, reputed company time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. The pay reputed company for this position is $38.00-41.00 / hour. “reputed company on our compensation program, an applicant’s position in the salary reputed company will depend on various considerations, such as years of applicable experience and reputed company level." reputed company reputed company Apply tot his job Apply To this Job