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Kentucky Licensed Care Review Clinician
A company is looking for a Care Review Clinician I to conduct utilization management reviews remotely. Key Responsibilities: Conduct utilization management reviews and provide prior authorizations as needed Identify benefits, eligibility, and expected length of stay for members requesting treatments Collaborate with interdepartmental teams to enhance continuity of care for members Required Qualifications: Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing, specifically KY Licensure Completion of an accredited Registered Nursing program or equivalent experience 0-2 years of clinical practice, preferably in hospital nursing, utilization management, or case management Experience with utilization management systems and knowledge of state and federal regulations Demonstrated ability to work independently and manage multiple priorities
A company is looking for a Care Review Clinician I to conduct utilization management reviews remotely.
Key Responsibilities:
Conduct utilization management reviews and provide prior authorizations as needed
Identify benefits, eligibility, and expected length of stay for members requesting treatments
Collaborate with interdepartmental teams to enhance continuity of care for members
Required Qualifications:
Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing, specifically KY Licensure
Completion of an accredited Registered Nursing program or equivalent experience
0-2 years of clinical practice, preferably in hospital nursing, utilization management, or case management
Experience with utilization management systems and knowledge of state and federal regulations
Demonstrated ability to work independently and manage multiple priorities