A large managed care company is looking to fill a 3 month Telehealth RN Case Manager position in Oregan. (Contract)

Pat Rate: $40/hr (Paid weekly)

Work Hours: Monday through Friday, 8am to 5pm MST

Benefits: Dental insurance, Health Insurance, Vision Insurance and 401(k)

Location: Remote - Oregan

**Must have OR nursing license**

Job Details:

This is a remote OR state based position where an individual 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 for member and/or provider issues.

• Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines.
• Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand.
• Commands a comprehensive knowledge of complex delegation arrangements, contracts, clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information.
  

Qualifications:
\- Requires an (OR state) RN with unrestricted active license.
\- Case Manager experience

\- Ability to work scheduled hours - remote