New York Licensed Clinical Review RN
A company is looking for a Clinical Claim Review RN to perform clinical reviews and improve health outcomes. Key Responsibilities Perform clinical reviews utilizing established guidelines and clinical criteria Work as part of a self-directed team to meet performance metrics Communicate benefit determinations regarding coverage and reimbursement Required Qualifications Current unrestricted RN license in the state of New York 3+ years of RN experience, including clinical experience in an inpatient/acute setting Proficiency in computer skills, including Microsoft Suite Proven exemplary clinical documentation skills Ability to handle a fast-paced production environment and multiple review types
A company is looking for a Clinical Claim Review RN to perform clinical reviews and improve health outcomes.
Key Responsibilities
Perform clinical reviews utilizing established guidelines and clinical criteria
Work as part of a self-directed team to meet performance metrics
Communicate benefit determinations regarding coverage and reimbursement
Required Qualifications
Current unrestricted RN license in the state of New York
3+ years of RN experience, including clinical experience in an inpatient/acute setting
Proficiency in computer skills, including Microsoft Suite
Proven exemplary clinical documentation skills
Ability to handle a fast-paced production environment and multiple review types
