Registered Nurse Clinical Reviewer

A company is looking for a Clinical Care Reviewer II - NICU. Key Responsibilities Process medical necessity reviews for healthcare service authorization Coordinate care and facilitate timely discharge to appropriate levels of care Document and communicate with healthcare partners to ensure safe discharge planning Required Qualifications, Training, and Education Completion of an accredited registered nursing (RN) degree program Minimum of three (3) years clinical NICU experience Utilization Management/Utilization Review experience preferred Medicaid/Medicare/Commercial experience preferred Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required

Jun 19, 2025 - 16:10

A company is looking for a Clinical Care Reviewer II - NICU. Key Responsibilities Process medical necessity reviews for healthcare service authorization Coordinate care and facilitate timely discharge to appropriate levels of care Document and communicate with healthcare partners to ensure safe discharge planning Required Qualifications, Training, and Education Completion of an accredited registered nursing (RN) degree program Minimum of three (3) years clinical NICU experience Utilization Management/Utilization Review experience preferred Medicaid/Medicare/Commercial experience preferred Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required