Texas Licensed Clinical Services Representative

A company is looking for a Health Clinical Services Representative. Key Responsibilities: Provides reliable communication of critical patient information and data Manages clinical documentation and enhances member and provider experience Reviews medical necessity documentation and produces decisions based on Medicaid requirements Required Qualifications: Valid Texas Registered Nurse license, inclusive of compact license Minimum of 1.5 years of experience with processing prior authorizations

Jun 11, 2025 - 09:50

A company is looking for a Health Clinical Services Representative. Key Responsibilities: Provides reliable communication of critical patient information and data Manages clinical documentation and enhances member and provider experience Reviews medical necessity documentation and produces decisions based on Medicaid requirements Required Qualifications: Valid Texas Registered Nurse license, inclusive of compact license Minimum of 1.5 years of experience with processing prior authorizations