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Clinical Reviewer RN

VirtualVocations
Garland, Texas, United States
Full-time

A company is looking for a Clinical Reviewer (RN) to evaluate medical records and ensure compliance with guidelines and standards of care.

Key ResponsibilitiesReview and analyze medical records for compliance with regulations and standardsDocument decisions and communicate results to stakeholdersIdentify potential fraud, waste, and abuse and collaborate with peers and leadersRequired QualificationsCurrent, active, unrestricted RN license in state of practice2 years of clinical experience1 year of experience with Microsoft OfficeBachelor's degree in Nursing (BSN, BAN, etc.

preferred1 year of experience in utilization review or case management preferred

21 hours ago
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