Executives-Training-Clinical Training
6 days ago
- Responsible for the review and evaluation of clinical information and documentation.
- Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
- Independently coordinates the clinical resolution with internal/external clinician support as required.
Qualifications for Internal Candidates
- Active PRC - RN License
- With at least 2 years Hospital or Bedside Experience
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Senior Executive-Training-Clinical Training
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