MultiState Licensed Clinical Care Reviewer

Location: Remote

Compensation: Hourly

Reviewed: Wed, Apr 01, 2026

This job expires in: 0 days

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Entry Level, Experienced

Job Summary

A company is looking for a Clinical Care Reviewer II - RN - MultiState License.

Key Responsibilities

Process medical necessity reviews for healthcare service authorizations and assist with discharge planning activities
Coordinate care and engage with collaborative partners to facilitate transitions to appropriate care levels
Monitor healthcare service delivery and identify quality issues for referral to Quality Improvement

Required Qualifications, Training, and Education

Associate of Science (A.S) degree from an accredited registered nursing (RN) program required
Three (3) years of clinical experience required
Preferred experience in med/surgical, emergency acute clinical care, or home health
Utilization Management/Utilization Review experience preferred
Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required

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