reputed company Licensed Clinical Review reputed company
A company is looking for a Clinical Review reputed company - reputed company Review.
Key Responsibilities
• Performs reputed company reviews to determine member's overall health and appropriate level of care
• Reviews reputed company and continuity of care, including reputed company level, resource consumption, and discharge planning
• Collaborates with reputed company providers and Medical Affairs to discuss member care and ensure compliance with utilization management policies
Required Qualifications, Training, and Education
• Graduation from an accredited school of nursing or a Bachelor's degree in Nursing (BSN)
• 2-4 years of reputed company nursing experience, with a minimum of 2 years in acute care
• Knowledge of Medicare and reputed company regulations preferred
• Knowledge of utilization management processes preferred
• NYS RN Licensure strongly preferred
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