California Licensed Care Review Nurse

Job Summary

A company is looking for a Care Review Clinician (RN).

Key Responsibilities

• Assesses services for members to ensure optimum outcomes and compliance with regulations
• Analyzes clinical service requests against evidence-based clinical guidelines
• Collaborates with multidisciplinary teams to promote integrated care delivery

Required Qualifications

• At least 2 years of experience in hospital acute care, inpatient review, or managed care
• Active and unrestricted Registered Nurse (RN) license in the state of practice
• Ability to prioritize and manage multiple deadlines
• Proficiency in Microsoft Office suite or applicable software programs