Licensed Clinical Nurse Consultant
Job Summary
Managing the end-to-end medical review process, the full-time Licensed Clinical Nurse Consultant will ensure accurate case assessments, collaborate with healthcare providers, and prepare necessary documentation in a remote environment.
Key responsibilities
- Review and render determinations for medical cases in accordance with regulations
- Prepare case summaries and medical review forms, ensuring timely submission to panelists
- Conduct outreach to qualified reviewers and assign cases using Salesforce
Required qualifications
- Bachelor's degree with 3-5 years of experience or Associate's degree with 5-7 years of experience
- Valid, active LPN or RN license
- Ability to pass a Federal Suitability Clearance
- Experience with Salesforce and/or Axway
- Flexibility to work extended hours or weekends as needed
Complete Job Description
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