State Licensed Clinical Review Nurse

Job Summary

A company is looking for a Clinical Reviewer, Nurse (Medical Oncology).

Key Responsibilities

• Perform pre-certification utilization reviews of oncology treatment requests (chemotherapy)
• Determine medical necessity and appropriateness of services using clinical review criteria
• Collaborate with physicians and other providers to facilitate the provision of services throughout the healthcare continuum

Required Qualifications

• Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license in the state of residence
• High School Diploma or equivalent required
• Minimum of three years of direct clinical patient care experience, preferably in Oncology
• Strong computer skills, including MS Office Suite
• Availability for a 9 AM-6 PM Monday through Friday shift with weekend and holiday rotation