Massachusetts Licensed RN Care Reviewer
VirtualVocationsNaples, Florida, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
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job_description.job_card.job_description
A company is looking for a RN UM Care Review Clinician, Inpatient based in MA.
Key Responsibilities
Assess services for members to ensure optimum outcomes and compliance with regulations
Analyze clinical service requests against evidence-based clinical guidelines
Conduct reviews for prior authorization and collaborate with multidisciplinary teams
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 the state of practice
Ability to prioritize and manage multiple deadlines
Proficiency in Microsoft Office suite and applicable software programs
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Rn • Naples, Florida, United States
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