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Job Title: Care Review Clinician
Location: Remote (USA)
Schedule: Monday - Friday, 8 AM to 5 PM CST
Experience Required: 3 years of hospital acute care/medical experience, UM experience
Summary:
As a Care Review Clinician, you will be an integral part of the Utilization Management team, focusing primarily on inpatient medical necessity/utilization review and various utilization management activities. Your role is crucial in ensuring that MCO (Managed Care Organization) members receive timely, appropriate, and cost-effective care while adhering to state and federal regulations and guidelines.
Essential Functions:
Knowledge/Skills/Abilities:
Required Education: Completion of an accredited Registered Nursing program (a combination of experience and education will be considered in lieu of a Registered Nursing degree).
Required Experience: Minimum 2-4 years of clinical practice, preferably in hospital nursing, utilization management, and/or case management.
Duration: Temp-to-Permanent
Required Licensure/Certification: Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing.
Full Time
$62k-87k (estimate)
05/12/2024
07/11/2024
morganstephens.com
TALLAHASSEE, FL
<25
2014
JOSEPH TOLLAND
<$5M
The job skills required for Care Review Clinician (Remote) include Managed Care, Utilization Management, Prior Authorization, Acute Care, Confidentiality, Microsoft Office, etc. Having related job skills and expertise will give you an advantage when applying to be a Care Review Clinician (Remote). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Care Review Clinician (Remote). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Care Review Clinician (Remote) positions, which can be used as a reference in future career path planning. As a Care Review Clinician (Remote), it can be promoted into senior positions as an Utilization Review Manager - Home Care that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Care Review Clinician (Remote). You can explore the career advancement for a Care Review Clinician (Remote) below and select your interested title to get hiring information.