
Medical Clearance Case Manager β RN
Posted Sep 18

Posted Sep 18
This is a fully remote position, open to applicants in Arizona, +8 more states.
β’ Evaluate, plan, implement, assess, and document nursing care for patients in accordance with organizational policies and nursing standards.
β’ Review medical clearance cases and ensure that requests are fulfilled within the designated timeframe prior to surgery.
β’ Refer patients to specialists for additional lab tests, examinations, x-rays, and clearance when deemed necessary.
β’ Work collaboratively with providers and healthcare professionals to ensure efficient inpatient or procedural workflows.
β’ Verify that evaluations adhere to clinical guidelines and safety protocols.
β’ Record patient medical histories, communications with external medical offices and clinics, and steps in the clearance process.
β’ Input and access data from electronic health record systems.
β’ Coordinate with physicians, medical staff, patients, center staff, PEPs, Prosthodontists, and Oral Surgeons to obtain timely results and update on clearance progress.
β’ Identify potential issues or risks that could impact the turnaround time for medical clearance.
β’ Manage multiple patients and procedures efficiently while adhering to established deadlines.
β’ Perform duties in line with established policies, procedures, regulatory and accreditation standards, and professional guidelines.
β’ A minimum of 1 year of experience in a role such as medical clearance professional, pre-ops case manager, utilization manager, or case manager, preferably in a remote or hybrid setting.
β’ At least one active state RN license.
β’ Compact state licensure.
β’ Nursing diploma.
β’ Proficient in Microsoft Office or Google Office applications.
β’ Strong technical skills.
β’ Excellent oral and written communication abilities.
β’ Strong analytical, planning, and process development competencies.
β’ Preferred completion of an accredited Certified Professional Utilization Review (CPUR) program or Certified Case Manager (CCM) credential from the Commission for Case Manager Certification.
β’ Preferred minimum of one year of licensed RN experience in PreOp/PACU, such as ICU or ED.
β’ Preferred bachelor's degree with a business concentration or an MBA.
β’ Paid time off.
β’ Health insurance.
β’ Dental insurance.
β’ Vision insurance.
β’ 401(k) savings plan with matching contributions.
Mercor
ICF
ICF
The Cigna Group
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