Clinical Correspondence Writer Editor

Job Summary

A company is looking for a Clinical Correspondence Writer/Editor-4.

Key Responsibilities:

• Review and edit Utilization Management (UM) adverse determination letters and Care Management (CM) Person Center Service Plan (PCSP) letters
• Audit member and provider correspondence for compliance with State and Federal regulations
• Collaborate with care managers and leadership team to ensure regulatory-mandated notices are accurate

Required Qualifications:

• HS diploma or GED
• Work experience in healthcare
• Familiarity with healthcare laws and regulations
• Experience in Utilization Management and managed care processes
• Associate's degree in related allied health care field preferred