Arizona Licensed Clinical Review Coordinator

Job Summary

A company is looking for a Clinical Review Coordinator - Remote.

Key Responsibilities

• Research member benefits and eligibility, and complete assigned cases within required timeframes
• Prepare and document clinical case reviews, and communicate Medical Director determinations to providers and members
• Collaborate with internal stakeholders and maintain communications for continuity of care

Required Qualifications

• High School Diploma / GED (or higher)
• RN license/certificate
• 3+ years of experience in Case Management, UM preferred
• Must be able to work in MST or PST time zone and have weekend availability
• Dedicated work area established for information privacy and secure handling of sensitive documents