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Telecommute Clinical Reviewer

Company: VirtualVocations
Location: Bridgeport
Posted on: November 22, 2022

Job Description:

A home health benefits management service provider has an open position for a Telecommute Clinical Reviewer.

Individual must be able to fulfill the following responsibilities:
Perform an initial evaluation of the referral appropriateness for CareCentrix services
Request additional clinical information when needed to render a decision and determine next steps
Interact with the Medical Director as needed to ensure proper medical necessity decisions are being made
Must meet the following requirements for consideration:

Have an Associate's Degree or Diploma in Nursing/Practical Nursing
Are a Registered Nurse/LPN/LVN with Licensure in the state(s) of practice
Hold an active, current and unrestricted license
Have a minimum of 2 years in a clinical setting
Have a minimum of 1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health required

Keywords: VirtualVocations, Bridgeport , Telecommute Clinical Reviewer, Other , Bridgeport, Connecticut

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