Florida Licensed Clinical Review Nurse

Job Summary

A company is looking for a Clinical Review Coordinator Nurse RN for a remote position in Florida.

Key Responsibilities:

• Request and review member's clinical information from providers
• Perform utilization review of inpatient cases using Interqual Criteria
• Collaborate with providers for discharge planning and evaluate ongoing member needs

Required Qualifications:

• RN License for the state of Florida and must reside in Florida
• 3+ years total experience including recent clinical experience in an inpatient/acute setting
• Experience in discharge planning and/or chart review
• Proficient computer skills
• Experience with Interqual criteria guidelines (preferred)