
Medical Clearance Case Manager – RN
Posted Sep 18

Posted Sep 18
This is a fully remote position, open to applicants in Arizona, +8 more states.
• Evaluate, plan, implement, assess, and document nursing care for patients in accordance with organizational policies and professional nursing standards.
• Examine medical clearance requests and ensure they are completed within the necessary timeframe prior to surgery.
• Collaborate with specialists for additional laboratory tests, examinations, x-rays, and clearances as needed.
• Work together with providers and healthcare professionals to ensure seamless and efficient inpatient or procedural workflows.
• Ensure that evaluations adhere to clinical guidelines and safety protocols.
• Record patient medical histories, interactions with external medical offices and clinics, and the steps taken during the clearance process.
• Input and extract data from electronic health systems.
• Collaborate with physicians, medical personnel, patients, center staff, Prosthetic Exam Performers, Prosthodontists, and Oral Surgeons to achieve timely results and communicate the status of clearances.
• Identify potential challenges or risks that could impact the turnaround time for medical clearances.
• Efficiently manage multiple patients and procedures within established deadlines.
• Execute all functions in accordance with established policies, procedures, regulatory and accreditation standards, and applicable professional guidelines.
• A minimum of 1 year of experience as a medical clearance professional, pre-ops case manager, utilization manager, or case manager, preferably in a remote or hybrid setting.
• At least one active state RN license.
• Compact state licensure.
• Nursing diploma required.
• Proficient in Microsoft Office and Google Office applications.
• Strong technical skills.
• Excellent oral and written communication abilities.
• Exceptional analytical, planning, and process development skills.
• Preferably completion of an accredited Certified Professional Utilization Review (CPUR) program or Certified Case Manager (CCM) certification from the Commission for Case Manager Certification.
• Preferred minimum of one year of licensed RN experience in PreOp/PACU settings (e.g., ICU, ED).
• Preferred bachelor’s degree with a concentration in business or an MBA.
• Paid time off.
• Health insurance.
• Dental insurance.
• Vision insurance.
• 401(k) savings plan with matching contributions.
Mercor
ICF
ICF
The Cigna Group
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