Mississippi Licensed Clinical Review Nurse
Job Summary
Working remotely, the part-time Mississippi Licensed Clinical Review Nurse will review clinical records to assess member eligibility and appropriateness of services while coordinating with providers and members for additional information.
Key responsibilities
- Review clinical records to assess member eligibility and service appropriateness
- Document findings and communicate effectively with healthcare teams
- Maintain compliance with regulatory and insurance guidelines
Required qualifications
- Current RN license in Mississippi
- Preferred BSN or related nursing degree
Complete Job Description
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