Job Title: Clinical Review Nurse - Concurrent Review
Location: Remote -Anywhere in US
Shift : Tuesday - Thursday 9:30 am - 6 pm CST / Overtime may be required and Holidays are required Duration : 12 months
Position Purpose:
Drafts correspondence letters based on review outcomes in accordance with National Committee for Quality Assurance (NCQA) standards. Works with senior management to identify and implement opportunities for improvement.
Performs clinical review of outcomes including crea
