Clinical Nurse Specialist - RN

VirtualVocations
Portland, Oregon, United States
Full-time

A company is looking for a Clinical Nurse Specialist to improve healthcare for older Americans through a cross-functional role.

Key ResponsibilitiesDevelop and update utilization management (UM) policies and position statementsConsult on claims review, provider dispute resolution, and quality of care reviewsEducate the UM team on quality assurance, risk management issues, and InterQual toolsRequired QualificationsRegistered Nurse with an unrestricted licenseMinimum of 4 years of experience as a Registered NurseAt least 3 years of experience in utilization management at a health planProvider clinical experienceCertified InterQual Trainer

11 days ago
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