Pre-Service RN Care Coordinator - EviCore -Remote

Pre-Service RN Care Coordinator Role Summary The Pre-Service RN Care Coordinator supports clinical and operational activities for post-acute care services, including transition of care, care coordination, and case management. This position helps ensure members receive medically appropriate services and equipment ordered by their physician while supporting timely communication between members, providers, and internal partners. Responsibilities Support clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management needs. Review physician-ordered services and equipment to help coordinate timely, appropriate member care. Collaborate with members, providers, caregivers, and internal teams to support continuity of care and resolve service coordination issues. Apply clinical judgment and established guidelines to support appropriate care coordination decisions. Document case activities accurately and timely in accordance with clinical, operational, regulatory, and compliance requirements. Maintain productivity, quality, and service expectations while managing assigned work in a remote environment. Minimum Qualifications Active, unrestricted Registered Nurse license in state of residence. Minimum of 2 years of clinical RN experience. Ability to work Monday through Friday, 9:00 a.m. to 6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs. Availability for weekend, on-call, and holiday rotation as business needs require. Ability to use a computer, telephone, and standard office equipment throughout the workday. Ability to maintain a dependable and reliable work schedule. Preferred Qualifications Bachelor of Science in Nursing. Compact or multistate RN license. 2 or more years of utilization management experience. Experience in home health, skilled nursing