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Registered Nurse Intake

  • Registered Nurse Intake job type Posted on: Nov 10, 2026
  • Registered Nurse Intake experience level TekWissen LLC
  • Registered Nurse Intake employment type Phoenix, Arizona
  • Registered Nurse Intake salary Salary: $40 per hour
  • Registered Nurse Intake employment type Remote
  • Registered Nurse Intake salary Full-time

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Job Title :

Registered Nurse Intake

Job Type :

Full-Time

Job Location :

Phoenix Arizona United States

Remote :

Yes

Jobcon Logo Job Description :

Overview:
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is an American multinational information technology services and consulting company and is a leading provider of information technology, consulting, and business process outsourcing services, dedicated helping the world's leading companies build stronger businesses.
Job Title: Registered Nurse Intake
Location: Phoenix, AZ, 85003
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Remote
Shift Timings: Monday to Friday, 8:00 AM to 5:00 PM CST.
Job Description:
a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; }
Job Responsibilities:
  • Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.
  • Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal.
  • Ensures timely review, processing, and response to appeals in accordance with State, Federal and NCQA standards.
  • Communicates with members, providers, facilities, and other departments regarding appeals requests.
  • Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards.
  • Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests.
  • Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices.
  • Performs other duties as assigned.
  • Complies with all policies and standards.
Must Have Skills:
  • Requires a degree from an Accredited School of Nursing or Master's degree in Behavioral Health or Social Work and 2 4 years of related experience.
  • Knowledge of NCQA, Medicare and Medicaid regulations preferred.
  • Knowledge of utilization management processes preferred.
License / Certification:
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required, or
  • LCSW - Licensed Clinical Social Worker required, or
  • LMHC - Licensed Mental Health Counselor required, or
  • LPC - Licensed Professional Counselor required, or
  • Licensed Marriage and Family Therapist (LMFT) required, or
  • Licensed Psychologist required.
  • RN license required.
Years of Experience:
  • 2 4 Years of Experience
TekWissen Group is an equal opportunity employer supporting workforce diversity.

Jobcon Logo Position Details

Posted:

Nov 10, 2026

Reference Number:

52559-12690

Employment:

Full-time

Salary:

$40 per hour

City:

Phoenix

Job Origin:

CIEPAL_ORGANIC_FEED

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Overview:
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is an American multinational information technology services and consulting company and is a leading provider of information technology, consulting, and business process outsourcing services, dedicated helping the world's leading companies build stronger businesses.
Job Title: Registered Nurse Intake
Location: Phoenix, AZ, 85003
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Remote
Shift Timings: Monday to Friday, 8:00 AM to 5:00 PM CST.
Job Description:
a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; }
Job Responsibilities:
  • Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.
  • Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal.
  • Ensures timely review, processing, and response to appeals in accordance with State, Federal and NCQA standards.
  • Communicates with members, providers, facilities, and other departments regarding appeals requests.
  • Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards.
  • Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests.
  • Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices.
  • Performs other duties as assigned.
  • Complies with all policies and standards.
Must Have Skills:
  • Requires a degree from an Accredited School of Nursing or Master's degree in Behavioral Health or Social Work and 2 4 years of related experience.
  • Knowledge of NCQA, Medicare and Medicaid regulations preferred.
  • Knowledge of utilization management processes preferred.
License / Certification:
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required, or
  • LCSW - Licensed Clinical Social Worker required, or
  • LMHC - Licensed Mental Health Counselor required, or
  • LPC - Licensed Professional Counselor required, or
  • Licensed Marriage and Family Therapist (LMFT) required, or
  • Licensed Psychologist required.
  • RN license required.
Years of Experience:
  • 2 4 Years of Experience
TekWissen Group is an equal opportunity employer supporting workforce diversity.

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