Inpatient Utilization & Care Coordination RN

Emblem Health is seeking a Clinical Reviewer in New York to perform clinical reviews and ensure accurate administration of benefits. The ideal candidate must have an Associate's or Bachelor's degree in nursing, a valid RN license, and 4-6 years of nursing experience. Responsibilities include coordinating care, communicating with providers, and preparing clinical case summaries. Preferred qualifications include certification in utilization management and strong communication skills.

This role is essential for maintaining care standards and facilitating patient care within the benefit plan.
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