RN Clinical Reviewer Greenlife Healthcare StaffingRN Clinical ReviewerJericho, NYThis individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.
Registered Nurse Clinical Reviewer / IDR Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / IDRJericho, NYGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This includes chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
NewCytology Manager & FISH Reviewer Sante Consulting LLCCytology Manager & FISH ReviewerEdison, NJgynecologic specimens and gynecologic PAP smears for detection of cancer, precancerous conditions, atypias and inflammatory conditions. Position Title: Cytology Manager & FISH Reviewer Department: Cytology FLSA Status: Non-Exempt Position Summary.
NewLicensed Mental Health Utilization Reviewer # 26-17647 US Tech Solutions, Inc.Licensed Mental Health Utilization Reviewer # 26-17647canton, MAThis role works collaboratively with Behavioral Health leadership, providers, and internal teams to ensure clinically appropriate, cost-effective, and compliant delivery of behavioral health services while supporting organizational goals. Job Summary: Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization Management (UM) Clinician is responsible for conducting benefit coverage reviews and utilization management in accordance with regulatory guidelines and Enterprise contract requirements.
Clinical Reviewer DC Qualis HealthClinical Reviewer DCSeattle, WA$93,000–$104,000 / yearFull timeProvide daily oversight and monitoring of non-clinical staff during their performance of non-clinical support activities, as appropriate; also provide the supervisor with input regarding employees' performance of these activities. The Clinical Reviewer position supports utilization management activities by assessing the medical necessity and quality of healthcare services through prospective, concurrent, and retrospective reviews.
Clinical Reviewer - PASRR (2026-49948) University of MassachusettsClinical Reviewer - PASRR (2026-49948)Worcester, MARemoteAll Academic Accounting & Finance Administrative Professional Administrative Support Advancement Biotechnology Clinical Research Environmental Health & Safety Executive Faculty Healthcare Human Resources Information Technology Interns Library Maintenance and Facilities Management Nursing Office Assistant Other Post Doc Professional Technician I Public Safety Research Residents Retail & Dining Services Staff Assistant Staff Associate Volunteer. All Bedford Boston Brockton Brockton Canton Charlestown Danvers Devens Fall River Fitchburg Holyoke Jamaica Plain Jamaica Plan Lincoln Mattapan North Hampton North Quincy Pocasset Shrewsbury Springfield Taunton Tewksbury Waltham Westborough Westfield Woburn Worcester Wrentham.
Manager of APP Clinical Reviewers TapestryHealthManager of APP Clinical ReviewersRemotePOSITION SUMMARY: As the Manager of Tapestry Health's Nurse Practitioner Clinical Reviewers, you will be responsible for managing and ensuring effective team performance by setting clear goals, providing regular feedback, and foster a collaborative and inclusive work environment. Be a liaison working with various departments: IT, Credentialing, Human Resources to assure that staff is appropriately trained, and credentialed.
Medical Experts - Academic Dermatologist Senior Clinical Reviewer eTeam Inc.Medical Experts - Academic Dermatologist Senior Clinical ReviewerRemote, CARemoteApplicants will be asked to disclose any active equity, advisory, consulting, or paid relationships with dermatology AI companies, digital health platforms, or pharmaceutical companies whose products may appear in case content. You will lead clinical review on complex cases, contribute to the development of clinical evaluation frameworks, and serve as expert advisor for client teams reviewing AI model outputs.
Clinical Reviewer / Care Manager | 0.8 PT Phelps County Regional Medical CenterClinical Reviewer / Care Manager | 0.8 PTMissouriThe Clinical Reviewer assists with data collection, entry and generation of reports; coordinates communication between Patient Financial Services, Third party Payers, patients, and physicians; and performs certifications, authorizations, concurrent reviews, and appeals. The clinical reviewer will be responsible for reviewing inpatient and observation patients and performing certifications/authorizations for Medicare, Medicaid, Commercial, and Medicare HMO third party payers.
Clinical Reviewer - PASRR University of Massachusetts Medical SchoolClinical Reviewer - PASRRWestborough, MassachusettsRemoteUnder the general supervision of the Associate Director, or designee, the Clinical Reviewer - PASRR is responsible for reviewing submitted referrals and any accompanying clinical documentation to the Pre-Admission Screening and Resident Review (PASRR) unit for completeness. Ability to understand and utilize resources for problem solving, in order to deal with problems involving multiple variables, effectively prioritizing and executing tasks in a high pressure, fast paced environment.
NewNeurosurgery Nurse Navigator & Surgical Clinical Reviewer St. Joseph Hospital BangorNeurosurgery Nurse Navigator & Surgical Clinical ReviewerThis position works in close collaboration with Neurosurgery providers, Perioperative Services, and Quality leadership, and functions as an advocate, educator, coordinator, and guide for neurosurgical patients and their families throughout the surgical continuum. The Neurosurgery Nurse Navigator & SCR will coordinate all aspects of care and quality review in a collaborative manner with members of the healthcare team to facilitate high quality, comprehensive patient care and surgical quality improvement.
Clinical Reviewer PASRR UMass Chan Medical SchoolClinical Reviewer PASRRWestborough, MARemoteUnder the general supervision of the Associate Director, or designee, the Clinical Reviewer - PASRR is responsible for reviewing submitted referrals and any accompanying clinical documentation to the Pre-Admission Screening and Resident Review (PASRR) unit for completeness. Ability to understand and utilize resources for problem solving, in order to deal with problems involving multiple variables, effectively prioritizing and executing tasks in a high pressure, fast paced environment.
Surgical Clinical Reviewer NSQIP Team Lead Q-Centrix LLCSurgical Clinical Reviewer NSQIP Team LeadRemote$39–$41 / hourJob Description: Under the direction of a Manager or Senior Manager, the Clinical Data Lead is an integral part of the account team as the subject matter expert, ensuring partner satisfaction through management of all quality tasks including new team member orientation, pre-submission cleaning of cases, validation of abstractor accuracy (IRR), completion of Fallout Reviews and the Second Look process. To accomplish this important work, we need to attract, engage, and retain a talented team by providing a compelling, equitable rewards package comprised of an inclusive culture, flexible work environment, learning and development opportunities, competitive pay that rewards high performance, and robust benefits that support health and financial wellness.
Full-time Nurse Practitioner Clinical Reviewer TapestryHealthFull-time Nurse Practitioner Clinical ReviewerRemotePOSITION SUMMARY: The Nurse Practitioner Clinical Reviewer will be responsible for reviewing Remote Patient Monitoring (RPM), Behavioral Health (BHI), and Chronic Care Management (CCM) reports, assuring the integrity and appropriateness of reporting elements. One on one meetings with designated facility representative will also be set up if the facility clinical representative request using video conferences platform to educate and review utilization of reports and benefits of these reports.
Registered Nurse Clinical Reviewer (IDR) Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer (IDR)Jericho, New York$60About Greenlife Healthcare Staffing: We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.
NewClinical Reviewer Independent HealthClinical ReviewerBuffalo, NY$38–$41 / hourInvestigate and research all levels of quality complaints/grievances, appeals, concerns, plans of correction and contractual appeals that require MD decision making independently to ensure decisions are within accordance with applicable policies, procedures, criteria, and contracts. The Clinical Reviewer will investigate quality complaints/grievances and appeals, document research of initial coverage determinations, and lead coordination of clinical review with appropriate internal stakeholders and Medical Director.
Metabolic and Bariatric Surgery Clinical Reviewer - IRMC Physician Group - General Surgery - Casual Indiana Regional Medical CenterMetabolic and Bariatric Surgery Clinical Reviewer - IRMC Physician Group - General Surgery - CasualIndiana, PAPOSITION SUMMARY: The MBS Clinical Reviewer timely and accurately collects and enters data into the MBSAQIP Data Registry Platform. RESPONSIBILITIES: Organizational and administrative duties: Ensure that case and follow up data are entered into the platform within the prescribed data entry timeframes.
Clinical Reviewer (SCA-Remote) Acentra HealthClinical Reviewer (SCA-Remote)NYRemote$28.37–$35 / hourJob Responsibilities: Assures accuracy and timeliness of all applicable review type cases within contract requirements Assesses, evaluates, and addresses daily workload and call queues; adjusts work schedules daily to meet the workload demands of the department In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution Performs all applicable review types as workload indicates Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process Attends training and scheduled meetings and for maintenance and use of current/updated information for review Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Clinical Reviewer-SCA Acentra HealthClinical Reviewer-SCANY$69,360–$86,700 / yearFor non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
NewRN Clinical Reviewer (Proofer) Greenlife Healthcare StaffingRN Clinical Reviewer (Proofer)Jericho, NY$93,600Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Clinical Reviewer ICONMA, LLCClinical ReviewerRemote, CARemote$16.50–$39.19 / hourAssesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. Our Client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Clinical Reviewer for their Remote/CA location.
RN Clinical Reviewer GreenLife Healthcare StaffingRN Clinical ReviewerJericho, NYThis individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.
RN Clinical Reviewer (Proofer) GreenLife Healthcare StaffingRN Clinical Reviewer (Proofer)Jericho, NYGreenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.
Registered Nurse Clinical Reviewer GreenLife Healthcare StaffingRegistered Nurse Clinical ReviewerJericho, NYGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Registered Nurse Clinical Reviewer / IDR GreenLife Healthcare StaffingRegistered Nurse Clinical Reviewer / IDRJericho, NYGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Clinical Reviewer III, Behavioral Health - Remote NM Magellan Health Services, Inc.Clinical Reviewer III, Behavioral Health - Remote NMAlbuquerque, NMRemoteFull timeLCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LISW - Licensed Independent Social Worker - Care MgmtCare MgmtCare Mgmt, LMFT - Licensed Marital and Family Therapist - Care MgmtCare MgmtCare Mgmt, LMSW - Licensed Master Social Worker - Care MgmtCare MgmtCare Mgmt, LPCC - Licensed Professional Clinical Counselor - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt. Assists in the planning and implementation of activities to improve delivery of services and quality of care including the development and coordination of in-service education programs for providers and other clinical staff.
Clinical Reviewer (SCA-Remote) Acentra Health, LLCClinical Reviewer (SCA-Remote)Remote$28.37–$32 / hourFull timeIn fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns.
Clinical Reviewer-SCA Acentra Health, LLCClinical Reviewer-SCA$69,360–$86,700 / yearFull timeFor non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Nurse Practitioner Clinical Reviewer 1099 TapestryHealthNurse Practitioner Clinical Reviewer 1099PRIMARY RESPONSIBILITIES Review all curated patient data reports received for accuracy of clinical and demographic information; Review output of clinical care algorithms for accuracy and appropriateness in the context of each patients’ medical history, care plan goals, and medications. In this role, you will be responsible for reviewing pertinent patient data, developing care plans, recommending modifications to current treatments, tracking progress to goals, and signing off on the treatment plans once the review is completed.
Clinical Reviewer, Radiation Therapy ( WEST COAST HOURS) Evolent Health IncClinical Reviewer, Radiation Therapy ( WEST COAST HOURS)CA$38–$39 / hourTechnical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Program Integrity Clinical Reviewer II (Readmission experience preferred) CareSourceProgram Integrity Clinical Reviewer II (Readmission experience preferred)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Excellent written and verbal communication skills with adeptness to create, present and evaluate present department, role-focused teaching materials across topics.
Trauma Clinical Reviewer (Trauma Registrar) Children's Hospital of The King's DaughtersTrauma Clinical Reviewer (Trauma Registrar)Norfolk, VALICENSES AND/OR CERTIFICATIONS Required Licenses and/or Certifications Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license required. GENERAL SUMMARY In conjunction with the Trauma Program Manager and Trauma PI Coordinator, the Trauma Clinical Reviewer is responsible for collecting, correlating, analyzing and inputting data from properly identified trauma patients.
Clinical Reviewer IconmaClinical ReviewerRemote, CARemote$16.50–$39.19 / hourAssesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. Our Client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Clinical Reviewer for their Remote/CA location.
Quality Clinical Reviewer - (Onsite in Hollidaysburg, PA) Magellan Health IncQuality Clinical Reviewer - (Onsite in Hollidaysburg, PA)PALCSW - Licensed Clinical Social Worker - Care MgmtCare MgmtCare Mgmt, LMHC - Licensed Mental Health Counselor - Care MgmtCare MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare MgmtCare Mgmt, MFT - Marriage and Family Therapist - Care MgmtCare MgmtCare Mgmt, PSY - Psychologist - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt. Assists in the planning and implementation of activities to improve delivery of services and quality of care including the development and coordination of in-service education programs for providers and care managers.
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required TEEMAClinical Quality Reviewer - REMOTE - RN - US Citizen Requiredphoenix, AZRemote$85,000–$92,000Bachelor’s degree in Nursing or healthcare-related field. Candidates must meet required AND preferred qualifications .
Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required TEEMAClinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Requiredphoenix, AZRemote$85,000–$92,000Bachelor’s degree in Nursing or healthcare-related field. Candidates must meet required AND preferred qualifications .
Clinical Reviewer HireTalentClinical ReviewerMcLean, VARemoteAssesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. Position is Remote HOWEVER Candidates MUST Reside in California and they need to have an active California license as a LCSW OR LMFT OR LPCC OR Licensed Social Worker.
Clinical Reviewer Iconma LLCClinical ReviewerCAAssesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. Our Client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Clinical Reviewer for their Remote/CA location.
Unit Manager/ Clinical Reviewer St. Dominic Village Senior LivingUnit Manager/ Clinical ReviewerHouston, TexasCare Planning: Collaborate with an interdisciplinary team to develop, implement, and update individualized care plans, ensuring all changes in residents' conditions are documented and addressed in a timely manner. Experience: A minimum of 2-3 years of clinical nursing experience, with at least one year in a supervisory or management role within a long-term care or skilled nursing facility, is highly preferred.
(US) Clinical Reviewer (Surgeon/SME, Part-Time / Contract) - USA Codvo.ai(US) Clinical Reviewer (Surgeon/SME, Part-Time / Contract) - USAMaharashtra, CaliforniaMission: Ensure clinical validity of ontology/guidelines and sign off on golden sets and edge-case adjudications. Board-certified clinician or domain SME with relevant specialty experience; comfortable reviewing video clips efficiently.
Nurse Practitioner Clinical Reviewer Team Lead TapestryHealthNurse Practitioner Clinical Reviewer Team LeadRemoteBe a liaison working with various departments for example Human Resources, IT and Credentialing department to assure that staff is appropriately trained and credentialed. Our team is comprised of healthcare experts who leverage the latest technology to provide turnkey solutions and deliver face-to-face care to patients.
Registered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience)- Remote Blue Cross and Blue Shield AssociationRegistered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience)- RemotePhoenix, AZRemoteWhile the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month Onsite: daily onsite requirement based on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Required Certifications N/A PREFERRED QUALIFICATIONS Preferred Work Experience 3 years of experience in clinical field of practice, health insurance, or other health care related field Preferred Education Bachelor''s Degree in Nursing or related field of study Preferred Licenses Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse Preferred Certifications N/A ESSENTIAL job functions AND RESPONSIBILITIES Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
BH UM Clinical Reviewer- Remote AZ Blue Cross and Blue Shield AssociationBH UM Clinical Reviewer- Remote AZPhoenix, AZRemoteAZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Responsible for identifying, researching, processing, resolving and responding to inquiries from internal and external customers with emphasis on excellence, privacy, compliance and versatility within the health insurance industry.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerDenver, CORemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
RN Clinical Quality Reviewer TEEMARN Clinical Quality ReviewerPhoenix, AZ$40–$43This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
Clinical Reviewer Psychiatry Maximus Federal & VESClinical Reviewer PsychiatryMcLean, VARemoteThe Social Security Administration (SSA), Office of Hearings Operations (OHO), is seeking Medical Experts (MEs) to provide professional medical opinion and testimony in administrative hearings before an Administrative Law Judge (ALJ). If you’re interested in applying your clinical expertise in a meaningful, flexible capacity supporting federal disability determinations, we encourage you to apply.
BH UM Clinical Reviewer- Remote AZ Blue Cross Blue Shield of ArizonaBH UM Clinical Reviewer- Remote AZPhoenix, ArizonaRemoteD. Required Licenses Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Registered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience) Blue Cross Blue Shield of ArizonaRegistered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience)RemoteWhen indicated to assist with team/project functions: Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.