by the Ohio State Nursing Board. Bachelor’s degree preferred. 3 years as a Registered Nurse with a combination of clinical.../Surgical/Critical Care/ ambulatory care experience preferred. Registered Nurse with current State of Ohio unrestricted license...
Overview: Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical... Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud...
, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Manages utilization... by the Ohio State Nursing Board. · 3 years as a Registered Nurse with a combination of clinical and utilization/case...
that have a strong clinical utilization management background. Medicare experience is a plus. Founded in 1934, Medical Mutual is the oldest... coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited...
and experience make you the perfect Clinical Reviewer at Ohio Living. Why Ohio Living is different Build relationships. You’ll... advances up to $500, and recognition programs. What you’ll do The Clinical Reviewer reviews and approves of all patient...