Minimum two years behavioral health clinical experience
Proficiency with ms office and emr systems
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CarePlus Health Plans Inc is seeking a Registered Nurse (RN) for a fully remote internship role aimed at transitioning military service members and military spouses. The position focuses on conducting clinical reviews for behavioral health services, ensuring compliance with regulations, and facilitating communication among healthcare providers.
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Job Summary
This internship is designed for transitioning military service members or military spouses to gain key training in healthcare utilization management.
The role involves conducting comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility for behavioral health services.
Participants will communicate with healthcare providers and coordinate with interdisciplinary teams to support decision-making while ensuring compliance with federal regulations.
Matching Summary
Match Score: 75
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CarePlus Health Plans Inc is seeking a Registered Nurse (RN) for a fully remote internship role aimed at transitioning military service members and military spouses. The position focuses on conducting clinical reviews for behavioral health services, ensuring compliance with regulations, and facilitating communication among healthcare providers.
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Skills & Requirements
Must-have
Active RN license in Kentucky or eNLC state
Minimum two years behavioral health clinical experience
Proficiency with MS Office and EMR systems
Nice-to-have
Interest in managed care industry
Experience with MCG or Interqual guidelines
Previous Medicare/Medicaid experience
Key Requirements
Transitioning military service member or military spouse status
Eligibility for DOW SkillBridge or Military Spouse Fellowship Program
Valid Registered Nurse license without restrictions
Two years minimum clinical behavioral health experience
Work Rights
Must be transitioning military service member or military spouse eligible for fellowship programs