California Licensed Clinical Review Nurse

Job Summary

A company is looking for a Clinical Reviewer, Nurse (Medical Oncology) with a preference for West Coast hours.

Key Responsibilities

• Perform pre-certification utilization reviews of oncology treatment requests
• Determine medical necessity and appropriateness of services using clinical review criteria
• Collaborate with healthcare providers to facilitate service provision across the healthcare continuum

Required Qualifications

• Registered Nurse with a current, unrestricted license in the state of residence
• Associates or Bachelor's Degree in Nursing
• Minimum of three years of direct clinical patient care, preferably in Oncology
• Strong computer skills, including proficiency in MS Office Suite
• Availability for a Monday through Friday shift with weekend and holiday rotation