Washington RN Care Review Clinician

Job Summary

A company is looking for a RN Care Review Clinician Critical Care to provide support for clinical member services review assessment processes.

Key Responsibilities

• Assesses services for members to ensure optimal outcomes and compliance with regulations
• Analyzes clinical service requests against evidence-based clinical guidelines
• Collaborates with multidisciplinary teams to promote integrated care delivery

Required Qualifications

• At least 2 years of experience in hospital acute care, inpatient review, or managed care
• Active and unrestricted Registered Nurse (RN) license in Washington state
• Ability to prioritize and manage multiple deadlines
• Proficiency in Microsoft Office suite and applicable software programs