Clinical Correspondence Review Nurse - New York
Company: VirtualVocations
Location: Tucson
Posted on: September 3, 2024
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Job Description:
A company is looking for a Clinical Correspondence Review Nurse
in New York.
Key Responsibilities:
Conduct quality reviews of clinical determination letters to ensure
adherence to regulatory and accreditation standards
Provide support and training to non-clinical staff and Medical
Directors regarding clinical correspondence
Identify opportunities for improvement, report non-compliance, and
participate in special projects
Required Qualifications:
Completion of an accredited Registered Nurse (RN) Program
Minimum 3 years Managed Care and Utilization Management Review
experience
Active, unrestricted State Registered Nurse (RN) License in good
standing
Preferred: 5+ years of experience in Utilization Management in
Managed Care setting and clinical correspondence processing
Keywords: VirtualVocations, Tucson , Clinical Correspondence Review Nurse - New York, Healthcare , Tucson, Arizona
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