Remote - Registered Nurse (RN) Clinical Care Reviewer - Massachusetts only
CareSource(2 days ago)
About this role
A Clinical Care Reviewer II specializes in reviewing medical necessity and coordinating care to ensure appropriate health care services are delivered effectively. The role involves collaboration with healthcare professionals, guiding clinical staff, and maintaining compliance with regulations, focusing on patient care management and quality improvement.
Required Skills
- Care Coordination
- Utilization Review
- Medicaid
- Medicare
- RN
- Clinical Expertise
- Healthcare Regulations
- Data Entry
- Customer Service
- Problem Solving
Qualifications
- RN Licensure
- Associates of Science
Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at CareSource
Similar Jobs
RN Reviewer
Cohere Health(23 days ago)
Coding & QA - Clinical Review
Ohio Living(26 days ago)
RN - Utilization Reviewer - Coordinated Care - PT
University of Mississippi Medical Center(1 month ago)
Outcomes Manager/Utilization Review, RN, Full Time
Virtua Health(3 days ago)
RN Utilization Management Reviewer
Sagility(7 months ago)
Clinical Reviewer II (RN) - Emergency Department
Clinical Careers Page(11 days ago)