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Multi-State Licensed Clinical Reviewer
A company is looking for a Utilization Management Clinical Care Reviewer II who must be multi-state licensed. Key Responsibilities Process medical necessity reviews for healthcare services and coordinate discharge planning activities Monitor the delivery of healthcare services and refer cases to Medical Directors as needed Document and communicate with Health Partners and Care Managers to ensure effective care coordination Required Qualifications, Training, and Education Completion of an accredited registered nursing (RN) degree program Minimum of three (3) years of clinical experience Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice Must be multi-state licensed (MSL) Preferred experience in med/surgical, emergency acute clinical care, or home health
A company is looking for a Utilization Management Clinical Care Reviewer II who must be multi-state licensed.
Key Responsibilities
Process medical necessity reviews for healthcare services and coordinate discharge planning activities
Monitor the delivery of healthcare services and refer cases to Medical Directors as needed
Document and communicate with Health Partners and Care Managers to ensure effective care coordination
Required Qualifications, Training, and Education
Completion of an accredited registered nursing (RN) degree program
Minimum of three (3) years of clinical experience
Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice
Must be multi-state licensed (MSL)
Preferred experience in med/surgical, emergency acute clinical care, or home health