Bachelor's degree in nursing or associate's degree in nursing with acceptance or current enrollment in a BSN program and a signed agreement
An associate degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license also qualifies
Technical Diploma in Nursing With acceptance or current enrollment in a BSN program and a signed agreement (see comments below) or Other Equivalent Qualifications Must be currently enrolled in a nursing bridge program working toward an MSN Verified BSN equivalent or a signed agreement is required
Registered Nurse (RN) License Issued by the Texas Board of Nursing or through the Nurse Licensure Compact (NLC) required
Basic Life Support (BLS) Certification, issued by the American Heart Association (AHA) required
2 years of professional nursing experience in Telehealth practice or pediatric emergency medicine, critical care, home health, or ambulatory clinical settings required

Remote Medical Review Nurse (RN) - Must Work CST time zone

Molina Healthcare

Houston, TX 77001

Registered Nurse (RN). License must be active and unrestricted in state of practice.
Registered Nurse with a compact/multi-state license
Must be willing to work a schedule within the Central Time Zone, Monday - Friday
Have at least 2 years of clinical experience as a nurse
Have at least 1 year of experience in the following areas: utilization review, medical claims review, claims auditing, medical necessity review and/or coding experience
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC).
Experience working within applicable state, federal, and third-party regulations.
Analytic, problem-solving, and decision-making skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Common look proficiency.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.