Nurse Reviewer (part-time / remote)

Remote, USA Full-time
About the position Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with intellectual and developmental disabilities and / or autism. These assessments are used to determine eligibility for various publicly funded health and human services. As Liberty's Nurse Reviewer, you will apply your nursing expertise to determine eligibility for intense 1:1 support services. You can expect: Starting pay between $32.00 and $40.00 per hour (depending on qualifications) Flexible part-time schedule (approximately 10-15 hours per week) Ability to work remotely from your home office Responsibilities • Gaining deep knowledge of current regulations and criteria related to intense services / 1:1 supports • Reviewing health information of children and adults • Identifying gaps or inconsistencies in documentation and requesting clarifications as necessary • Collaborating with others to make approval or denial determinations • Determining whether service requests meet established criteria • Creating professional and evidence-based determination letters • Attending weekly virtual meetings every Thursday from 2pm to 4pm Requirements • Currently licensed in Idaho as a Registered Nurse (RN) • Ability to analyze and use health information to make informed decisions and recommendations • At least two years of nursing experience related to case management, long-term care, or care of older adults or people who are living with significant physical and developmental disabilities • Computer proficiency and solid writing skills Nice-to-haves • Knowledge of IDAPA regulations and criteria for Intense Support Services is helpful. Apply tot his job
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