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Care Review Clinician

Location : Chicago, Il
Job Type : Contract
Reference Code : 21722
Hours : Full Time
Required Years of Experience : 2
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :
Large client that is looking for Care Review Clinicians.



100% remote, candidates can sit anywhere
*SCHEDULE: 8a-5p CST, some weekend and holidays will be required
*ILLINOIS RN State License is required
*MUST HAVE: Experience working in a hospital setting – surgical or outpatient. Their area of expertise should be specific to Prior Authorizations experience, and must have solid experience within a clinical setting as they will need to be able to use their knowledge to extrapolate key information during the prior authorization process.

DAY-TO-DAY: Prior Authorizations, reviewing faxes that can be 30-50 pages long. Will be expected to manage 15-20 PAs successfully daily. Should be able to quickly and accurately determine whether the criteria meets medical necessity. Previous experience a must.
Required Qualifications :
 
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