Clinical Review Coordinator

Job Summary

A company is looking for a Clinical Review Coordinator to support patient needs through clinical review processes.

Key Responsibilities

• Conducts timely prior authorization reviews to evaluate medical necessity based on clinical criteria
• Reviews patient documentation and requests additional information to support clinical decisions
• Assists in creating clinical support packets and documents appeals for authorization denials

Required Qualifications

• Bachelor's degree in a healthcare field or 3 years of relevant experience
• Preferred experience with specialty infusion needs and challenges
• Competent in Microsoft Word, Excel, and PowerPoint
• Experience with denial support, clinical reviews, and appeals
• Ability to work effectively under stress and manage time efficiently