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Clinical Reviewer RN

Company: VirtualVocations
Location: Rockford
Posted on: July 6, 2024

Job Description:

A company is looking for a Clinical Reviewer.

Key Responsibilities:

Apply clinical review criteria to determine medical necessity of health care services
Consult with physician/practitioner consultants when reviews fail criteria
Provide clinical orientation to new employees and ongoing mentoring for clinical review staff

Required Qualifications:

Active RN license
5+ years of clinical experience, with critical care or emergency room experience preferred
Utilization review and mental health experience
Experience in clinical record review/assessment and data entry
Demonstrated experience working with infants, children, young adults, adults, and families

Keywords: VirtualVocations, Rockford , Clinical Reviewer RN, Healthcare , Rockford, Illinois

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