Clinical Care Reviewer - RN - Must have a MSL License
CareSource(18 days ago)
About this role
A Clinical Care Reviewer II evaluates medical necessity for health care services, assists with discharge planning, and monitors the delivery of healthcare services to ensure proper care coordination and compliance with regulations. The role involves collaboration with medical staff and adherence to industry standards.
Required Skills
- RN
- Care Coordination
- Medical Necessity
- Discharge Planning
- Utilization Review
- Patient Advocacy
- Microsoft Office
- Data Entry
- Communication
- Problem Solving
Qualifications
- Registered Nurse Licensure
- Associates of Science
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