Maximus is hiring a Clinical Review Specialist - Registered Nurse to join our Audit and Appeals team! In this role..., participate in phone-based hearings as a witness for the State of Tennessee. Minimum Requirements - Current Registered Nurse...
Description & Requirements Maximus is hiring a Clinical Review Specialist - Registered Nurse to join our Audit.... - Review appeal requests and all ancillary documentation to recommend a clinical determination using specific clinical criteria...