Registered Nurse Care Reviewer in Oakland, CA

A company is looking for a Care Review Clinician (RN). Key Responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requests against evidence-based clinical guidelines Collaborates with multidisciplinary teams to promote the care model Required Qualifications At least 2 years of experience in hospital acute care, inpatient review, or managed care Active and unrestricted Registered Nurse (RN) license in state of practice Ability to prioritize and manage multiple deadlines Proficiency in Microsoft Office suite / applicable software programs