Clinical Review RN: Elevate Quality & Compliance

The Council of State and Territorial Epidemiologists seeks Clinical Utilization Review Nurses (RN) to work remotely from Alabama. This full-time role involves assessing the medical necessity and quality of healthcare services. Candidates must have a BA/BS in Nursing, an active RN license in Alabama, and at least 3 years of direct patient care experience. Key responsibilities include applying Medicaid criteria, completing reviews, and consulting with Physicians on complex cases. The role requires a reliable internet connection and may involve some travel for training or meetings.
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