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Oregon Licensed Clinical Reviewer
A company is looking for a Clinical Reviewer to utilize clinical expertise in reviewing medical records for appropriateness. Key Responsibilities Ensure accuracy and timeliness of review cases within contract requirements Assess and manage daily workload and queues, adjusting schedules as needed Maintain knowledge of review processes and serve as a liaison for customer service issues Required Qualifications Active unrestricted Registered Nurse (RN) license for Oregon Bachelor's Degree from an accredited college or university in a related field 2+ years of experience in Utilization Management or Clinical Review Ability to obtain licensure for the State of Nebraska if not currently held
A company is looking for a Clinical Reviewer to utilize clinical expertise in reviewing medical records for appropriateness.
Key Responsibilities
Ensure accuracy and timeliness of review cases within contract requirements
Assess and manage daily workload and queues, adjusting schedules as needed
Maintain knowledge of review processes and serve as a liaison for customer service issues
Required Qualifications
Active unrestricted Registered Nurse (RN) license for Oregon
Bachelor's Degree from an accredited college or university in a related field
2+ years of experience in Utilization Management or Clinical Review
Ability to obtain licensure for the State of Nebraska if not currently held