Job Summary
A company is looking for a Clinical Grievances RN (Behavioral Health) to work remotely in CST, PST, MST, or AZ.
Key Responsibilities
- Perform clinical assessments of healthcare services for appropriateness
- Facilitate discussions with healthcare providers and members to gather clinical information
- Manage quality and productivity metrics while collaborating with team members and Medical Directors
Required Qualifications
- Current, unrestricted RN license in the state of residency
- Experience working in the Behavioral Health field as an RN
- 3+ years of total RN experience, including clinical experience in an inpatient/acute setting
- Demonstrated proficiency in computer skills, including Microsoft Suite
- Ability to work remotely in CST, PST, MST, or AZ during standard business hours
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