Nevada Licensed Clinical Review CoordinatorVirtualVocations • Grand Prairie, Texas, United States
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Nevada Licensed Clinical Review Coordinator
VirtualVocations • Grand Prairie, Texas, United States
Hace 7 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Clinical Review Coordinator to conduct mandatory case reviews and quality assurance activities.
Key Responsibilities
Ensure an efficient case review process and identify problem areas
Support physician reviewers by summarizing case facts and resolving issues
Communicate with Medicare beneficiaries and healthcare providers regarding quality improvement activities
Required Qualifications
Graduation from an accredited nursing school and current RN or LPN licensure
A degree in a healthcare-related field with clinical experience in Medicare QIO
Experience in quality of care review or medical review related to Medicare
Minimum of two to four years of clinical decision-making experience with Medicare patients
Must notify HR of any changes to licensure or certifications within five calendar days
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Clinical Coordinator • Grand Prairie, Texas, United States
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