State Licensed Clinical Review NurseVirtualVocations • New Orleans, Louisiana, United States
State Licensed Clinical Review Nurse
VirtualVocations • New Orleans, Louisiana, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Clinical Reviewer, Nurse (Medical Oncology).
Key Responsibilities
Perform pre-certification utilization reviews of oncology treatment requests
Determine medical necessity and appropriateness of services using clinical review criteria
Collaborate with healthcare providers to facilitate service provision across the healthcare continuum
Required Qualifications
Registered Nurse or Licensed Practical / Vocational Nurse with a current, unrestricted license
High School Diploma or equivalent required
Minimum of three years of direct clinical patient care, preferably in Oncology
Minimum of one year of experience with medical management activities in a managed care environment
Strong computer skills, including MS Office Suite
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Clinical Review Nurse • New Orleans, Louisiana, United States
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