Long Term Care RN


Medical and Nursing

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Branch Information

Manpower Global Enterprise - (USA) 100 Manpower Place WI Milwaukee , WI - 53212 Phone : -



Job Description

This is a temporary position for 6 months with the possibility of extension in northern Austin TX!

The LTC RN is responsible for reviewing requests for the Long Term Care population and determining medical necessity based on standard policies and procedures as well as their clinical expertise and knowledge. The RN is also responsible for responding to phone inquiries from providers and participating in the Fair Hearing process. The LTC RN will: Review and analyze medical necessity documentation and assessments according to established criteria and protocols. Produce decisions as required based on knowledge of Medicaid requirements and training as a Registered Nurse.Maintain appropriate documentation and support for all requests. Participate in Fair Hearings as assigned. Review complaints and appeals by providers; investigate and evaluate facts and advise disposition. Manage incoming phone calls from the provider and customer communities. Cross train to other areas and assist as required. Basic Qualifications: Unrestricted Registered Nurse