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 Senior Clinical Review Nurse (RN)

Details
Country: USA
Location: CA Orange County
Total applied: 26

Career Level: Experienced (Non-Manager)
Job Type: Employee
Job Status: Full Time

Senior Clinical Review Nurse (RN)

Must have a California RN license

Positions involved in functions such as utilization management, which require advanced medical training i.e. RN.

We are seeking a Senior Clincal Review Nurse to perform concurrent/pre-service clinical reviews to ensure compliance with clinical standards, coding practices and identify potential quality issues. Reviews are conducted telephonically, with the application of clinical policies and criteria such as Milliman and clinical practice guidelines. The ideal candidate will perform retrospective and clinical review as needed.

Please e-mail resumes to

- Apply for Senior Clinical Review Nurse (RN)

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