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 requirementsProtects the confidentiality of member information and adheres to company policies regarding confidentialityProtects the confidentiality of member information and adheres to company policies regarding confidentialityData gathering requires navigation through multiple system applications WHAT WE OFFER? Competitive Compensation Package with Retention Program incentives, Performance IncentivesHMO can cover up to three dependents up to 80 years old Dental coverage for employeesSkills enhancement through Trainings and Personal Development ProgramsGreat Culture and Work Environment QUALIFICATIONS BS Nursing GraduateMust have an Active PRC - RN LicenseWith 1 year of clinical nursing experience