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Clinical Review Nurse - Concurrent Review TX All On-site Share on Job Description Location: 100% Remote - TX: RN only with TX license SHIFT: Tuesday – Saturday 8am-5pm CST- schedule is firm- no flexibility Duration: 6 months, contract to hire. Job Purpose: This is a fast-paced role. The nurse will be reviewing clinical faxed in by facilities for medical necessity. The nurse gains valuable regarding commercial insurance. Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Typical Day in the Role: 8am-5pm CST, Tues - Saturday. Will have task queue to work from. Will work closely with team lead and team members to meet daily deadlines. Will be reviewing cases for medical...