This job will have the following responsibilities:
As a Clinical Reviewer, you will play a crucial role in ensuring the quality and accuracy of medical records, while also maintaining compliance with regulatory standards
Identify any discrepancies or missing information in medical records and work with healthcare providers to obtain necessary information
Qualifications & Requirements:
Must be a Registered Nurse with an active license in state of residence
At least 3 years of prior experience with Milliman and/or InterQual guidelines
At least 3 years of experience in a Case Management/Utilization Review role
Contact: bwelsh@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com