Remote Nursing Jobs · Clinical Nursing

• Review and evaluate electronic medical records of emergency department admissions to screen for medical necessity using InterQual or MCG criteria.
• Apply evidence-based clinical guidelines to assess and ensure proper utilization of healthcare resources.
• Enter clinical review information into the system for transmission to insurance companies for authorization.

Netsmart provides advanced healthcare technology solutions for post-acute and human services clients, enabling better care through a comprehensive platform. We are a vision-driven team passionate about innovation, and we have been recognized as one of the best companies to work for.

• Provide in-depth pre-sales engagement and demos of ExamSoft clinical judgment exams for nursing programs.
• Be the voice of experience for nursing programs on pre-test examinations and strategies for NCLEX preparation.
• Assist newly adopted institutions in preparing to deliver clinical judgment examinations and serve as a resource on nursing education assessment.

Turnitin is a recognized innovator in global education, developing learning integrity solutions for over 25 years. Over 16,000 academic institutions, publishers, and corporations use its services in more than 185 countries worldwide, with a remote-first culture and team members in over 35 countries.

• Implements and supports the philosophy, mission, values, standards, policies, and procedures of The Ohio State University Wexner Medical Center.
• Functions within the multidisciplinary team to secure complex pre-authorizations and prevent/appeal clinical denials.
• Utilizes clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided.

The Ohio State University is a top-20 public university with one of America’s leading academic health centers. They are a team of dedicated colleagues with access to boundless resources.