![Building A Digital PR Strategy: 10 Essential Steps for Beginners [With Examples]](https://buzzsumo.com/wp-content/uploads/2023/09/Building-A-Digital-PR-Strategy-10-Essential-Steps-for-Beginners-With-Examples-bblog-masthead.jpg)
![How to Use GA4 to Track Social Media Traffic: 6 Questions, Answers and Insights [VIDEO]](https://www.orbitmedia.com/wp-content/uploads/2023/06/ab-testing.png)
California RN Medical Management Clinician
A company is looking for an RN Medical Management Clinician to fill a remote opening with a managed care organization. Key Responsibilities Manage complex cases and evaluate multiple variables against guidelines Serve as a resource for lower-level clinicians and assist in process improvement initiatives Assess and apply medical policies and clinical guidelines within the scope of licensure Required Qualifications High School/GED/BSN required RN license in the state of residence 6 years of clinical and/or utilization review experience, including 1 year in managed care organization (MCO) Experience in outpatient review, including pre-authorization and clinical guidelines Strong computer skills and ability to work from home with necessary technology
A company is looking for an RN Medical Management Clinician to fill a remote opening with a managed care organization.
Key Responsibilities
Manage complex cases and evaluate multiple variables against guidelines
Serve as a resource for lower-level clinicians and assist in process improvement initiatives
Assess and apply medical policies and clinical guidelines within the scope of licensure
Required Qualifications
High School/GED/BSN required
RN license in the state of residence
6 years of clinical and/or utilization review experience, including 1 year in managed care organization (MCO)
Experience in outpatient review, including pre-authorization and clinical guidelines
Strong computer skills and ability to work from home with necessary technology
