: Apply plan benefit language and medical policy to the clinical coverage review process, providing clinical and managed care.... Primary Responsibilities: Perform clinical coverage review of services, which require interpretation of state and federal...
: Apply plan benefit language and medical policy to the clinical coverage review process, providing clinical and managed care.... Primary Responsibilities: Perform clinical coverage review of services, which require interpretation of state and federal...
in. Required Qualifications: Registered Nurse with active unrestricted compact license Currently an ECS Clinical Coverage Review (CCR Team...: Development and annual review/approval of team training materials; CCR Subject Matter Expert SME: CCR Team process and documents...