RN Care Review Clinician

A company is looking for a Care Review Clinician (RN). Key Responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requests against evidence-based clinical guidelines Conducts reviews for prior authorization and collaborates with multidisciplinary teams Required Qualifications At least 2 years of experience in hospital acute care, inpatient review, or managed care Registered Nurse (RN) with an active and unrestricted license in the state of practice Ability to prioritize and manage multiple deadlines Proficiency in Microsoft Office suite or applicable software programs