Clinical Nurse Specialist - RN
Company: VirtualVocations
Location: Fort Lauderdale
Posted on: October 12, 2024
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Job Description:
A company is looking for a Clinical Nurse Specialist to improve
healthcare for older Americans through a cross-functional role.
Key Responsibilities
Develop and update utilization management (UM) policies and
position statements
Consult on claims review, provider dispute resolution, and quality
of care reviews
Educate the UM team on quality assurance, risk management issues,
and InterQual tools
Required Qualifications
Registered Nurse with an unrestricted license
Minimum of 4 years of experience as a Registered Nurse
At least 3 years of experience in utilization management at a
health plan
Provider clinical experience
Certified InterQual Trainer
Keywords: VirtualVocations, Miramar , Clinical Nurse Specialist - RN, Healthcare , Fort Lauderdale, Florida
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