CLINICAL REVIEWER RN
- Medical, Vision, Dental, Short- and Long-term insurance
- 6+ Days of Holidays Pay
- 10+ days of PTO
- Employer paid life insurance
- 401K with employer contribution
- Wellness program with reward incentives
- Employee recognition and reward programs
- Comprehensive paid training program
- Concurrent review of patient’s clinical information for efficiency
- Ongoing review of precertification requests for medical necessity
- Coordinates patient care needs with a multi-disciplinary healthcare team
- Maintain accurate records of all patient related interactions
- Ability to stay organized and interact well with others in any situation
- Provide updates to Manager of Utilization Management for review
- State licensure as a LPN or RN
- Minimum 2 years of prior experience in Utilization Management
- Strong knowledge of word processing and spreadsheet computer programs
- Utilization Management or Case Management certification preferred
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