Texas Licensed Clinical Services Representative

Job Summary

A company is looking for a Health Clinical Services Representative.

Key Responsibilities:

• Provides reliable communication of critical patient information and data
• Manages clinical documentation and enhances member and provider experience
• Reviews medical necessity documentation and produces decisions based on Medicaid requirements

Required Qualifications:

• Valid Texas Registered Nurse license, inclusive of compact license
• Minimum of 1.5 years of experience with processing prior authorizations