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 Senior Clinical Review Nurse

Details
Country: USA
Location: Cypress CA
Total applied: 40
Location: US-CA-Cypress


Job Category:Science
Senior Clinical Review Nurse

Purpose: Our client is one of the nations largest consumer health organizations, offering individuals, employers and Medicare beneficiaries a variety of consumer-driven health care and insurance products. This company is in need of a SENIOR CLINICAL REVIEW NURSE to join there team of professionals.

Candidates will perform concurrent/pre-service clinical reviews to ensure compliance with clinical standards, coding practices and identify potential quality issues. Reviews are conducted telephonically, with the application of clinical policies and criteria such as Milliman and clinical practice guidelines.

Must be a licensed RN in the state of CA. Must have strong communication skills to work effectively with the office.

The position is Monday through Friday from 8 a.m. to 5 p.m. If you are interested in this position please call Rachel at 714-347-1208 or e-mail your resume to

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