Remote Lead Clinical Reviewer

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Thu, Jun 02, 2022
Job Summary

A healthcare company is in need of a Remote Lead Clinical Reviewer.

Candidates will be responsible for the following:

  • Managing multiple tasks, being detail oriented, being responsive, and demonstrating independent thought
  • Working collaboratively with Utilization Management Medical Director, Manger, and Supervisor
  • Assisting Supervisor/Manager with coaching, training, call monitoring, reports and mentoring of new associates  

Qualifications Include:

  • Associate's Degree or Diploma in Nursing/Practical Nursing or the equivalent
  • Registered Nurse/LPN/LVN license in any state or jurisdiction in the United States
  • 2 years clinical experience in a clinical setting
  • Expertise in Utilization Management and knowledge of URAC standards
  • Required to possess an active license to practice without restrictions
  • Must have at least 1 year Utilization Management experience
COMPLETE JOB DESCRIPTION

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