Registered Nurse - Healthcare WFH and Hybrid

2 years of bedside nursing experience

Active PHRN license (will not accept someone with USRN)

Responsibilities:

• Review and evaluate clinical information and documentation.
• Handle fax triage and provider calls.
• Interpret data from clinical records/systems, applying clinical criteria and policy in compliance with regulatory/accreditation requirements.
• Ensure confidentiality of member information and adhere to company policies.