Temp Clinical Letter Writer

Act for Health, Inc; United States; Remote; USD 35,000 - 50,000; Full time

Job summary

Professional Case Management (PCM) is seeking a Nurse Case Reviewer to collect and review client medical records and clinical documentation to support Department of Labor authorizations for a defined caseload.

The role requires an RN with current state licensure, 2+ years of healthcare experience, excellent research, writing, editing and oral communication skills, and strong computer skills. You will draft medical necessity letters, review authorizations, and collaborate with the care team.

Qualifications

• Registered Nurse with current State licensure preferred
• Minimum of two years of healthcare experience preferred
• Excellent research, writing, editing and oral communication skills
• Strong computer skills
• Attention to details and ability to translate into clinical documentation
• Ability to work independently as well as collaboratively
• Licensed driver with clean driving record and insured in accordance with state and/or Agency requirements.

Responsibilities

• Researches diagnoses and treatment strategies related to client’s covered conditions and relates this information when writing correspondence regarding client authorizations, denials and changes in level of care.
• Write draft letter of medical necessity for the purpose of authorization and recertification of client care.
• Review authorization and recertification paperwork, as requested, and communicate with appropriate team members when clarification is needed.

Skills

RN licensure

Healthcare experience

Research and writing

Oral communication

Computer skills

Attention to detail

Independent worker

Driver’s license

Education

RN license

Tools

MS Office

Job description

Put your talents to work at PCM! Whether you work in our Home Care, Clinical Research, Impairments, or Catastrophic Care division, you will support our mission to deliver care and other services that enhance the quality of life of our clients. Be a part of our dynamic client-focused team and make a difference in your career! This position is responsible for gathering and reviewing client medical records and clinical documentation to assist in documenting clinical needs to present to the Department of Labor for authorization of care for an assigned number of clients.

QUALIFICATIONS

Registered Nurse with current State licensure preferred Minimum of two years of healthcare experience preferred Excellent research, writing, editing and oral communication skills Strong computer skills Ability to pay attention to various details and can quickly understand and translate those details into clinical documentation Ability to work independently as well as collaboratively as part of a team Licensed driver with clean driving record and insured in accordance with state and/or Agency requirements.

ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY

Researches diagnoses and treatment strategies related to client’s covered conditions and relates this information when writing correspondence regarding client authorizations, denials and changes in level of care. Write draft letter of medical necessity for the purpose of authorization and recertification of client care. Review authorization and recertification paperwork, as requested, and communicate with appropriate team members when clarification is needed.

The typical base pay range for this role is USD $35,360 - $50,440 per year.

Professional Case Management is an Equal Opportunity Employer.

At Professional Case Management (PCM), our mission drives us. We have a growing team of over 4,000 employees who are passionate about delivering care that enhances the quality of life of clients in the most healing of environments – the home. We believe that aligning genuine, caring team members with this purpose is life-changing for our clients, customers, and teammates alike. And it’s our goal to consistently stretch ourselves – and the organization – to ensure we’re always learning, growing, and elevating our standards of service.

In everything we do, we share a strong set of core values: We Work As A Team, We Do The Right Thing, We Figure It Out, We Pursue Growth, and We Take Ownership.

PCM has been an industry leader in delivering specialized in-home care and other services to clients for over 30 years. Our Home Care division is the nation’s premier Home Healthcare provider to former nuclear weapons and uranium workers, upholding the highest standards of care through accreditation by the Accreditation Commission of Health Care (ACHC).