New Mexico Licensed Clinical Reviewer

Job is Expired

Location: Remote

Compensation: Salary

Reviewed: Tue, Mar 10, 2026

Job Category: Healthcare

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A company is looking for a Clinical Reviewer.

Key Responsibilities

Conduct prospective, concurrent, and retrospective utilization management reviews
Consult with physician/practitioner consultants when services do not meet medical necessity criteria
Maintain accurate documentation and comply with all regulatory and contract standards

Required Qualifications

BA/BS in Nursing
Minimum of 3 years of direct patient care (clinical) experience
Current, active, unrestricted RN license
Experience with InterQual Criteria
Must meet New Mexico state and contract-specific requirements

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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