Nevada Licensed Clinical Review Coordinator

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