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, Monday to Friday, Shift work,

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