Florida Licensed RN Clinical Coordinator

A company is looking for an RN Clinical Review Coordinator in Florida. Key Responsibilities Research member benefits and eligibility while completing assigned cases within required timeframes Process and document case activities, preparing clinical case reviews for Medical Director decisions Communicate Medical Director determinations to providers and members, ensuring continuity of care Required Qualifications Current unrestricted RN license in the state of Florida 5+ years of clinical experience 3+ years of experience in Case Management, with Utilization Management preferred 1+ years working in managed care or the insurance industry Experience with Medicare and/or Medicaid

Mar 4, 2025 - 06:07

A company is looking for an RN Clinical Review Coordinator in Florida. Key Responsibilities Research member benefits and eligibility while completing assigned cases within required timeframes Process and document case activities, preparing clinical case reviews for Medical Director decisions Communicate Medical Director determinations to providers and members, ensuring continuity of care Required Qualifications Current unrestricted RN license in the state of Florida 5+ years of clinical experience 3+ years of experience in Case Management, with Utilization Management preferred 1+ years working in managed care or the insurance industry Experience with Medicare and/or Medicaid