Washington Licensed Care Coordinator

A company is looking for a Care Coordinator - Retrospective RN.

Key Responsibilities

Perform medical necessity reviews for inpatient, outpatient, and retrospective services

Consult with Medical Directors regarding care that does not meet established criteria

Document clinical information accurately and maintain compliance with regulatory requirements

Required Qualifications

Bachelor's degree or four years of relevant work experience (REQUIRED)

Current State Licensure as a registered nurse (REQUIRED)

Three years of clinical experience (REQUIRED)

Experience in Utilization Management

Experience in the health plan industry