Clinical Reviewer RN

Company: VirtualVocations
Location: Pasadena
Posted on: November 16, 2024

Job Description:

A company is looking for a Clinical Reviewer (RN) to evaluate medical records and ensure compliance with guidelines and standards of care.

Key Responsibilities

Review and analyze medical records for compliance with regulations and standards
Document decisions and communicate results to stakeholders
Identify potential fraud, waste, and abuse and collaborate with peers and leaders

Required Qualifications

Current, active, unrestricted RN license in state of practice
2 years of clinical experience
1 year of experience with Microsoft Office
Bachelor's degree in Nursing (BSN, BAN, etc.) preferred
1 year of experience in utilization review or case management preferred

Keywords: VirtualVocations, Houston , Clinical Reviewer RN, Healthcare , Pasadena, Texas

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