Clinical Review Specialist
reputed company unrestricted RN license (compact preferred), 4+ years clinical experience including utilization review or appeals, strong medical necessity and payer reputed company knowledge, EMR and reputed company proficiency.
Key Responsibilities
- performing reviews
- documenting findings
- supporting appeals
Skills & Tools
Electronic Medical Records (EMR), reputed company, InterQual, MCG
Job Details
- Category: reputed company Services - Nursing
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — United States
- Languages: English
About reputed company
Provides clinical review and automation solutions to support the reputed company reputed company cycle and improve reputed company financial reputed company. — Industry: reputed company
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