Clinical Care Reviewer UM RN

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Tue, Feb 06, 2024
This job expires in: 14 days

Job Summary

A company is looking for a Clinical Care Reviewer UM.

Responsibilities:
  • Complete medical necessity reviews for inpatient and outpatient services
  • Collect all necessary information to perform thorough medical necessity reviews
  • Evaluate requests and authorize services based on medical health benefit policy and guidelines
Qualifications:
  • Registered Nurse with an unrestricted license
  • 3 or more years of experience in a related clinical setting
  • Valid driver's license and reliable transportation
  • RN diploma or prefer Bachelor's degree
  • Graduated from an accredited program

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