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SCOPE OF POSITION:
Responsible for analyzing patient records to determine legitimacy and necessity of medical services in compliance with government reimbursement policies. Review may be prior authorization, concurrent with service or post service. Review findings may be referred to a physician advisor for final determination. Support the organization’s mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence Accountability, Respect and Teamwork.
ESSENTIAL JOB FUNCTIONS:
KNOWLEDGE, SKILLS AND ABILITIES:
Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):
Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.
EDUCATION:
Required: Diploma or Associate’s degree in nursing, licensed as a Registered Nurse in the state of Arkansas without restrictions or licensed as a multistate Registered Nurse and can practice in the state of Arkansas.
Desirable: Bachelor’s degree in nursing
EXPERIENCE:
Required: Three (3) years clinical nursing experience
Desirable: Quality Assurance / Utilization Review and/or coding experience, QIO experience
INTERNET REQUIREMENTS:
Reliable, high-speed wireless internet service (Wi-Fi)
Full Time
Building Construction
$61k-83k (estimate)
05/05/2023
05/27/2024
afmc.ca
FRANCONVILLE, ILE-DE-FRANCE
<25
1943
FRANCOIS MARCHAND
$5M - $10M
Building Construction