Washington Licensed Care Coordinator

Job Summary

A company is looking for a Care Coordinator - Retrospective RN.

Key Responsibilities

• Conducts medical necessity reviews, including inpatient, concurrent, and retrospective assessments
• Consults with Medical Directors regarding care that does not meet criteria or policies
• Documents clinical information accurately and participates in quality improvement activities

Required Qualifications

• Bachelor's degree or four years of relevant work experience (Required)
• Current State Licensure as a registered nurse (Required)
• Three years of clinical experience (Required)
• Utilization Management experience (Preferred)
• Experience in the health plan industry (Preferred)