eNLC Licensed Clinical Nurse
Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Jun 06, 2025
Job Summary
A company is looking for a Utilization Management - Clinical Nurse to work from home.
Key Responsibilities
- Analyze clinical information and treatment plans for authorization requests
- Conduct telephonic and concurrent reviews of hospitalizations and outpatient treatments
- Ensure compliance with regulatory standards and timely processing of denial determinations
Required Qualifications
- RN license in an eNLC state with multistate privileges
- 3+ years of nursing experience
- 1+ years of utilization management experience
- Familiarity with medical terminology and clinical documentation standards
- Proficiency in Microsoft Office and experience with healthcare systems
COMPLETE JOB DESCRIPTION
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Job is Expired