Nevada Licensed RN Clinical Reviewer

Job Summary

A company is looking for a Physical Health RN Clinical Care Reviewer II.

Key Responsibilities

• Process medical necessity reviews for healthcare services and assist with discharge planning activities
• Coordinate care and facilitate timely discharge to appropriate levels of care
• Document and communicate with healthcare partners to ensure safe discharge planning and care coordination

Required Qualifications, Training, and Education

• Completion of an accredited registered nursing (RN) degree program
• Minimum of three (3) years of clinical experience
• Preferred experience in med/surgical, emergency acute clinical care, or home health
• Preferred experience in Utilization Management/Utilization Review
• Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required