Clinical Reviewer AK
$80k/y-$100k/y
2 days ago
Highlight
RemoteFull-timeEntry
Summary
Qualis Health is seeking a Clinical Reviewer AK to join their remote team. The role involves supporting various patient populations through utilization management and care planning.
About the Role
As a Clinical Reviewer AK, you will participate in a multi-disciplinary team to enhance healthcare quality for individuals and populations. Your responsibilities will include applying clinical criteria to assess medical necessity for healthcare services, consulting with physicians, and documenting critical thinking in decision-making processes.
About You
Required:
- A degree or diploma in nursing.
- Current, active, unrestricted RN licensure in good standing.
- 3 years of clinical (direct patient care) work experience that includes critical care, ED, and/or intensive care.
Preferred:
- 1+ years of utilization review or other medical management experience.
Benefits
- Competitive salary range of $80k–$100k.
- Opportunity to work in a collaborative and innovative healthcare environment.
Qualis Health
Qualis Health is a national leader in improving care delivery and patient outcomes, working with clients throughout the public and private sector to advance the quality, efficiency, and value of healthcare for millions of Americans every day. We deliver solutions to ensure that our partners transform the care they provide, with a focus on process improvement, care management, and effective use of health information technology.
Milwaukee, WI