Registered Nurse Care Reviewer

Job Summary

A company is looking for a Care Review Clinician (RN).

Key Responsibilities

• Assess services for members to ensure optimum outcomes and compliance with regulations
• Analyze clinical service requests against evidence-based clinical guidelines
• Conduct reviews for prior authorization and collaborate with multidisciplinary teams

Required Qualifications

• At least 2 years of relevant experience, including hospital acute care or managed care
• Active and unrestricted Registered Nurse (RN) license in the state of practice
• Ability to prioritize and manage multiple deadlines
• Proficiency in Microsoft Office suite and applicable software programs