Pain Management Clinical Reviewer RN
Company: VirtualVocations
Location: Oxnard
Posted on: November 16, 2024
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Job Description:
A company is looking for a Clinical Reviewer, Nurse,
specializing in Pain Management.
Key Responsibilities:
Evaluate cases that do not pass the authorization approval process
and collaborate with call center staff
Review charts and clinical documentation to approve services
meeting review criteria
Communicate with medical office staff regarding approvals and
denials, providing clinical rationale and maintaining
documentation
Required Qualifications, Training, and Education:
Current, unrestricted state licensure as a Registered Nurse
Associate or Bachelor's degree in Nursing
5+ years of clinical experience preferred
No history of disciplinary or legal action by a state medical
board
Not under current exclusion or sanction by any state or federal
health care program
Keywords: VirtualVocations, Rancho Santa Margarita , Pain Management Clinical Reviewer RN, Executive , Oxnard, California
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