What are the responsibilities and job description for the Registered Nurse position at Actalent?
Description:
M-F 8AM-4:30PM
In this role the nurse will review clinical claims and determine if the retrospective claims should be paid according to our benefits and/or policy.
Average of 15 claims daily
Skills:
Nurse, acute care, post service, prior authorization, Case management, Epic, Utilization management, concurrent review, Care management
Top Skills Details:
Nurse, acute care, post service, prior authorization
Additional Skills & Qualifications:
CA RN/LVN License
Strong computer skills
Prior work experience in Post Service, Prior Auth, Concurrent review.
Experience Level:
Intermediate Level
About Actalent:
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.
Salary : $50 - $55
