Washington RN Care Review Clinician

A company is looking for a RN Care Review Clinician Critical Care to provide support for clinical member services review assessment processes.

Key Responsibilities

Assesses services for members to ensure optimal outcomes and compliance with regulations

Analyzes clinical service requests against evidence-based clinical guidelines

Collaborates with multidisciplinary teams to promote integrated care delivery

Required Qualifications

At least 2 years of experience in hospital acute care, inpatient review, or managed care

Active and unrestricted Registered Nurse (RN) license in Washington state

Ability to prioritize and manage multiple deadlines

Proficiency in Microsoft Office suite and applicable software programs