RN/Utilization Review - 1099 Contractor (Remote)

MRIoA•Salt Lake City, UT

18h•Remote

About The Position

We are seeking a qualified and detail-oriented Registered Nurse (RN) for a PRN (1099 Contractor) Case Reviewer position. The role involves completing minimum of approximately 100 cases per month , with an expectation of working 15 hours per week. This is a paid per-case position, with a quality expectation of 95% or better. You will be responsible for reviewing cases in a timely manner and responding to supervisor correspondence within 48 hours. Roles: To provide objective clinical utilization and peer review activities as requested by the company for cases submitted for independent external review. To provide objective clinical utilization management and peer review services as requested by the company for standard cases. To provide input and feedback and/or general comments to the company as requested

Requirements

Minimum of 3 years' experience in Emergency Room, Urgent Care, Critical Care, Medical/Surgical, or a combination of these areas.
Ability to comprehend and communicate effectively through written text.
Strong attention to detail and ability to meet quality standards.
Designated workstation with access to reliable internet connection and laptop/desktop, monitor, keyboard, mouse
High school diploma or equivalent
Current, unrestricted Compact Registered Nurse license.

Nice To Haves

Utilization Management experience is preferred.

Responsibilities

Complete a minimum of approximately 100 cases per month (~15 hours per week).
Maintain a 95% or better quality in case completion.
Respond to supervisor correspondence within 48 hours.
Will need to use your own computer and internet to perform the work.
Demonstrate strong attention to detail and ensure accuracy in all cases reviewed.
To carry out the terms and conditions of the Master Agreement between reviewer and company
To carry out the policies and procedures as documented in the Reviewer Handbook and Code of Conduct
To be familiar with the laws, regulations and accreditation standards that govern the activities of the company
To be familiar with the legal and regulatory issues and requirements applicable for the company’s independent external review activities
To complete initial company orientation and training activities
To actively participate in ongoing company and/or client training and education programs at least annually.
To actively participate in the company’s quality management and quality improvement activities related to the clinical review process