Wfh Registered Nurses 1

KEY RESPONSIBILITIES• Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements• Protects the confidentiality of member information and adheres to company policies regarding confidentiality• Protects the confidentiality of member information and adheres to company policies regarding confidentiality• Data gathering requires navigation through multiple system applicationsWHAT WE OFFER?• Competitive Compensation Package with Retention Program incentives, Performance Incentives• HMO can cover up to three dependents up to 80 years old Dental coverage for employees• Skills enhancement through Trainings and Personal Development Programs• Great Culture and Work EnvironmentQUALIFICATIONS- BS Nursing Graduate- Must have an Active PRC - RN License- With 1 year of clinical nursing experience