Qualifications
Nurse Reviewer I position:
The successful candidate will have
Registered Nurse with a current, valid unrestricted license in the state of California.Minimum of three (3) years recent clinical nursing experience in an ambulatory or hospital setting.Candidates should have good computer skills and solid typing speed and accuracy.Familiarity with managed health care programs including HMO, PPO, and POS.Familiarity with Utilization Management Guidelines preferred.Familiarity with ICD-9 and CPT 4 coding preferred.Previous utilization and/or quality management and/or call center experience helpful.
Nurse Reviewer Associate position:
The successful candidate will have
Graduate of an accredited school of nursing.Registered Nurse with a current, valid unrestricted license in the state of California.Candidates should have good computer skills and solid typing speed and accuracy.Customer service experience would be helpful.Quality management and/or call center experience helpful.Previous clinical experience in a hospital or urgent care environment would be a plus, but not required.Familiarity with managed health care programs including HMO, PPO, and POS be a plus.Familiarity with ICD-9 and CPT 4 coding would be a plus
Nurse Reviewer I position:
The successful candidate will have
Registered Nurse with a current, valid unrestricted license in the state of California.Minimum of three (3) years recent clinical nursing experience in an ambulatory or hospital setting.Candidates should have good computer skills and solid typing speed and accuracy.Familiarity with managed health care programs including HMO, PPO, and POS.Familiarity with Utilization Management Guidelines preferred.Familiarity with ICD-9 and CPT 4 coding preferred.Previous utilization and/or quality management and/or call center experience helpful.
Nurse Reviewer Associate position:
The successful candidate will have
Graduate of an accredited school of nursing.Registered Nurse with a current, valid unrestricted license in the state of California.Candidates should have good computer skills and solid typing speed and accuracy.Customer service experience would be helpful.Quality management and/or call center experience helpful.Previous clinical experience in a hospital or urgent care environment would be a plus, but not required.Familiarity with managed health care programs including HMO, PPO, and POS be a plus.Familiarity with ICD-9 and CPT 4 coding would be a plus