Long Term Care Registered Nurses

Industry

Health and Safety

Advert ID

USA_443074

Location

Austin

Job Type

Contract

Hours

Full-Time

Salary Range

USD30.00-38.00/hr

No. of Openings

1

Branch Information

Manpower CORE 100 Manpower Place , WI - 53212 Phone : 414-982-1960

ContactNumber

414-982-1960

Job Description

RM- Long Term Care Registered Nurse



Unrestricted Registered Nurse license from the State of Texas

-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.

-Conducts medical necessity reviews for Long Term Care form submissions.

-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