RN Medical Reviewer II - CGS

BlueCross · Nashville, Tennessee

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About this role

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Description Position Purpose: Performs medical reviews using clinical / medical…

Excerpt only. The full posting is on the employer’s careers site.

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