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Texas Licensed- Registered Nurse
Ref No.: 18-33218
Location: Austin, Texas
Start Date: 06/07/2018
Job Title           : Texas Licensed- Registered Nurse
Job ID               : 18-33218
Location           : Riata Trace Pkwy Austin, TX 78727
Duration           : 6+ Months (Contract)

Job Description:
  • Texas Licensed Registered Nurse – Prior Authorization
  • Healthcare Delivery - MUST BE ABLE TO WORK 10A-7P SHIFT.
  • Comprehensive Care Program Experience highly preferred:
  • Private Duty nursing. Home Health experience.
  • Comprehensive Care Program Experience.
  • No direct patient care-- 8 hour shifts unless OT is needed and approved -- will have a shift between 7am and 7pm, so must be available for all shifts between that time. The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. They will collaborate with healthcare providers to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. They will ensure medically appropriate, high quality, cost effective care through assessing the medical necessity of outpatient services, out of network services, and appropriateness of treatment setting within the scope of professional limitations by utilizing the applicable rules of the Texas Administrative Code (TAC).