Missouri and Kansas Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse. Key Responsibilities Conducts utilization management reviews to ensure appropriate healthcare system use and maximize healthcare dollars Reviews medical information to determine medical necessity, benefits, and eligibility for services and products Communicates with team members and providers to assess and educate on healthcare resources and improve outcomes Required Qualifications Associate degree in nursing 3+ years of full-time direct patient care clinical experience in medical/surgical, pediatrics, and/or obstetrics RN license in Missouri and Kansas Proven experience in problem definition and data collection to solve practical problems Experience presenting information to groups and responding to questions from various stakeholders
A company is looking for a Clinical Review Nurse.
Key Responsibilities
Conducts utilization management reviews to ensure appropriate healthcare system use and maximize healthcare dollars
Reviews medical information to determine medical necessity, benefits, and eligibility for services and products
Communicates with team members and providers to assess and educate on healthcare resources and improve outcomes
Required Qualifications
Associate degree in nursing
3+ years of full-time direct patient care clinical experience in medical/surgical, pediatrics, and/or obstetrics
RN license in Missouri and Kansas
Proven experience in problem definition and data collection to solve practical problems
Experience presenting information to groups and responding to questions from various stakeholders
