or designee, the Nurse Reviewer is responsible for medical necessity determinations of provider-requested services (prior... Nurse with current license in the Commonwealth of Massachusetts and 6 years clinical nursing experience Demonstrated...
in the clinical eligibility and nurse reviewer processes. Maintain confidentiality of all business documents...
and other management staff to ensure clinical integrity is maintained in the clinical eligibility and nurse reviewer processes... in social work; mental health counseling; related health and human services field; or equivalent OR a registered nurse (RN). 5...