State Licensed Inpatient RN Care Coordinator

A company is looking for a Care Coordinator - Inpatient RN. Key Responsibilities Perform medical necessity reviews for inpatient and concurrent care requests, ensuring compliance with criteria and policies Consult with Medical Directors regarding cases that do not meet established criteria Document clinical information accurately and participate in quality improvement activities Required Qualifications Bachelor's degree or four years of relevant work experience Current State Licensure as a registered nurse Three years of clinical experience Utilization Management experience (preferred) Experience in the health plan industry (preferred)

Jun 19, 2025 - 02:50

A company is looking for a Care Coordinator - Inpatient RN. Key Responsibilities Perform medical necessity reviews for inpatient and concurrent care requests, ensuring compliance with criteria and policies Consult with Medical Directors regarding cases that do not meet established criteria Document clinical information accurately and participate in quality improvement activities Required Qualifications Bachelor's degree or four years of relevant work experience Current State Licensure as a registered nurse Three years of clinical experience Utilization Management experience (preferred) Experience in the health plan industry (preferred)