Job Summary
A company is looking for a Senior Clinical Admin Nurse to provide individualized support for members navigating the health care system.
Key Responsibilities
- Provide educational support and tools for members to manage their health concerns
- Assist members with adverse determinations and the appeal process
- Coordinate necessary medical care and community referrals while tracking all activities for documentation
Required Qualifications
- Current and unrestricted RN compact license
- 2+ years of acute nursing experience
- 2+ years of case management experience
- Basic computer proficiency (e.g., MS Word, Outlook)
- Ability to function independently with minimal supervision
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