Attends physician/ hospital appointments. Reliable transportation and local travel required. Must be a Registered Nurse with current unrestricted CA RN license. 3 to 5 years clinical nursing experience. Strong technology, organizational and documentation skills are a must.
Qualifications for this position include: Attends regular staff physician meetings with Medical Director and attends orientation and training. Board certified MD, DO, DC or allied health professional. Current, unrestricted clinical license(s)
Must be able to: Provide physician review services for utilization management, case management, and quality management. Develop maintain and assure compliance with physician review policies and procedures for utilization management.