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Care Review Clinician

Location : Florida
Job Type : Contract
Reference Code : 15191
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :

We are looking for a RN Care Review Clinician in the state of Florida. For these positions you must have an active, unrestricted FL license to qualify for these positions. These are part time positions . The shift is Mon-Fri 8a-5p.


 


Job Duties: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.

Required Experience: Minimum 2 years of clinical experience required. Must have prior Inpatient hospital nursing Utilization Management and Behavioral Health experience preferred! Prior UM or prior Authorization is a plus!



Required Licensure/Certification: Active, unrestricted State Nursing RN license in good standing.


For immediate consideration please email sroper@mednationalstaffing.com.


Required Qualifications :
 
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