Clinical Reviewer RN
Company: VirtualVocations
Location: Pasadena
Posted on: November 16, 2024
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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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