Care Review Clinician

Job is Expired

Location: Remote

Compensation: To Be Discussed

Staff Reviewed: Fri, May 10, 2024

Job Category: Healthcare

Employer Type: Staffing Agency

Career Level: Experienced

Job Summary

A company is looking for a Care Review Clinician in Phoenix, AZ.

Key Responsibilities:

Conduct concurrent review and prior authorizations for MCO members
Identify benefits, eligibility, and expected length of stay for members
Collaborate with other departments to enhance continuity of care for members

Required Qualifications:

Completion of an accredited Registered Nursing program
Minimum 2-4 years of clinical practice in hospital nursing, utilization management, or case management
Experience with NCQA and knowledge of applicable state and federal regulations
Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing
Proficiency in Interqual and other references for length of stay and medical necessity determinations

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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