State Licensed Clinical Reviewer Nurse

A company is looking for a Clinical Reviewer, Nurse.

Key Responsibilities

Evaluate cases that do not pass the authorization approval process and promote a supportive team approach

Review charts and analyze clinical documentation to approve services meeting clinical review criteria

Monitor quality of care standards and communicate with medical office staff regarding approvals and denials

Required Qualifications

Current, unrestricted state licensure as a Registered Nurse

Associate or Bachelor's degree in Nursing

Ability to work a minimum of 30 hours per week

5+ years of clinical experience (preferred)

Proficient computer skills, including the ability to talk and type simultaneously