![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)
![How One Brand Solved the Marketing Attribution Puzzle [Video]](https://contentmarketinginstitute.com/wp-content/uploads/2025/03/marketing-attribution-model-600x338.png?#)
Vermont Licensed Clinical Review RN
A company is looking for a Clinical Review Registered Nurse. Key Responsibilities: Conduct clinical reviews of prior approval, post-service reviews, and claim requests Communicate with providers to obtain necessary clinical information for utilization management decisions Perform audits and provide timely reviews for service appropriateness based on established standards Required Qualifications: Active Vermont RN License Experience in utilization management and clinical review processes Knowledge of medical policy and evidence-based guidelines Ability to perform audits and case reviews accurately Experience in provider relations and clinical issue resolution
A company is looking for a Clinical Review Registered Nurse.
Key Responsibilities:
Conduct clinical reviews of prior approval, post-service reviews, and claim requests
Communicate with providers to obtain necessary clinical information for utilization management decisions
Perform audits and provide timely reviews for service appropriateness based on established standards
Required Qualifications:
Active Vermont RN License
Experience in utilization management and clinical review processes
Knowledge of medical policy and evidence-based guidelines
Ability to perform audits and case reviews accurately
Experience in provider relations and clinical issue resolution
