![Building A Digital PR Strategy: 10 Essential Steps for Beginners [With Examples]](https://buzzsumo.com/wp-content/uploads/2023/09/Building-A-Digital-PR-Strategy-10-Essential-Steps-for-Beginners-With-Examples-bblog-masthead.jpg)
Texas Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Correspondence. Key Responsibilities Drafts correspondence letters based on clinical review outcomes in accordance with NCQA standards Investigates denials and provides supplemental information to resolve denial claims Coordinates with interdepartmental teams and provides feedback to leadership for process improvements Required Qualifications Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience LPN license required; RN license may be required based on location Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred
A company is looking for a Clinical Review Nurse - Correspondence.
Key Responsibilities
Drafts correspondence letters based on clinical review outcomes in accordance with NCQA standards
Investigates denials and provides supplemental information to resolve denial claims
Coordinates with interdepartmental teams and provides feedback to leadership for process improvements
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2 - 4 years of related experience
LPN license required; RN license may be required based on location
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred