Job is Expired
Location: Idaho, Montana, Oregon, Washington
Compensation: To Be Discussed
Staff Reviewed: Tue, Dec 28, 2021
Job Summary
A health insurance company needs applicants for an opening for a Telecommute Medical Insurance Clinical Care Coordinator.
Core Responsibilities Include:
- Performing medical necessity reviews
- Consulting with Medical Directors when care does not meet applicable criteria
- Documenting clinical information completely, accurately, and promptly
Applicants must meet the following qualifications:
- Bachelor's degree or four (4) years’ work experience
- Current State Licensure as a registered nurse or behavioral health clinician where licensing is required by State law
- 3 years of clinical experience
- Utilization Management experience
- Experience working in the health plan industry