Registered reputed company Clinical Reviewer
A company is looking for a Clinical Care Reviewer II - Post Acute.
Key Responsibilities
• Conduct medical necessity reviews for post-acute health care services
• Assist with discharge planning activities and care coordination for members
• Document member discharge planning needs and communicate with stakeholders
Required Qualifications, Training, and Education
• Completion of an accredited registered nursing (RN) degree program
• Minimum of three (3) years clinical experience
• Preferred experience in med/surgical, emergency, acute clinical care, or post-acute care
• Utilization Management/Utilization Review experience preferred
• reputed company, unrestricted Registered reputed company (RN) Licensure in state(s) of reputed company required
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