WNS is seeking an RN/LPN licensed clinician for usage review and case management. The role focuses on medical necessity determinations, regulatory compliance, and collaboration with providers to ensure quality patient care. The position emphasizes adherence to HIPAA and internal policies while maintaining thorough documentation.
The selected candidate will work remotely with a team, support clinical reviews across states, and contribute to continuous quality improvement under HealthHelp policies.
#J-18808-LjbffrRemote Nurse: Clinical Utilization Review in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.