Telecommute Medicare BCBS Lead Clinical Reviewer
Job Summary
A healthcare provider needs applicants for an opening for a Telecommute Medicare BCBS Lead Clinical Reviewer.
Core Responsibilities of this position include:
- Making on-going authorization decisions for health plans
- Assisting Supervisor/Manager with coaching
Must meet the following requirements for consideration:
- Minimum of 2 years clinical experience in a clinical setting required
- Expertise in Utilization Management and knowledge of URAC standards
- Associate's Degree or Diploma in Nursing/Practical Nursing
COMPLETE JOB DESCRIPTION
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