Clinical Data Services Representative-RN Remote

Job Description

Clinical Data Services Representative RN #74334

$42/hr.

-Local Candidates preferred - remote
-No Visa Restrictions.

Desired

Start Date:

1/5/2026

Responsibilities/Requirements:
MUST BE ABLE TO WORK 10A to 7P SHIFT. No direct patient care. 8-hour shifts unless OT is needed and approved. Will have a shift between 7am and 7pm, so must be available for all shifts between that time.

- Need advanced Word and Excel experience

-Utilize the applicable rules of the Texas Administrative Code TAC.
-Review Medical Necessity requirements.

Description:

Registered Nurse conducts pre-service, concurrent retrospective reviews. They will collaborate with healthcare providers to improve member outcomes, optimize member benefits, and ensure the effective use of resources. They will ensure medically appropriate, high-quality, cost-effective care by assessing the medical necessity of outpatient services, out-of-network services, and the appropriateness of the treatment setting within the scope of professional limitations.

* Work location :
Austin, TX

* What are the chances for extension? High

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job.

MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at       Benefits with MMC Group   MMC offers health insurance plans for our active candidates on assignment, including:
Medical, dental, and vision coverage  Life and disability insurance  Additional voluntary benefits       Join MMC and enjoy the support of a team that values your well-being, both on and off the job.
MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.