Tennessee and Missouri RN Clinical Review Coordinator

A company is looking for a LOS Clinical Review Coordinator for TN and MO.

Key Responsibilities

Request and review member's clinical information from providers

Perform utilization review of inpatient cases using Interqual Criteria and update authorizations promptly

Collaborate with providers for discharge planning and evaluate ongoing member needs

Required Qualifications

Active and unrestricted RN License

3+ years of clinical experience in an inpatient / acute setting

Experience in discharge planning and / or chart review

Proficient computer skills

Dedicated work area with high-speed internet connection