New York Licensed Clinical Review NurseVirtualVocations • Philadelphia, Pennsylvania, United States
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New York Licensed Clinical Review Nurse
VirtualVocations • Philadelphia, Pennsylvania, United States
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- serp_jobs.job_card.full_time
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A company is looking for a Clinical Review Nurse.
Key Responsibilities
Perform Utilization Review activities in accordance with jurisdictional guidelines
Assess medical necessity and appropriateness of treatments and medications for injured employees
Document Utilization Review activities accurately and communicate determinations to relevant parties
Required Qualifications
Active unrestricted RN license in a state or territory of the United States
5+ years of related experience or equivalent combination of education and experience
Bachelor's degree in nursing (BSN) preferred
Certification in case management or related specialty is highly preferred
Ability to obtain necessary Insurance License(s) within three to six months of employment
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Clinical Review Nurse • Philadelphia, Pennsylvania, United States
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