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RN Clinical Care Reviewer II - Care Coordination
Job in
Northern, Floyd County, Kentucky, USA
Listed on 2026-08-29
Listing for:
CareSource
Full Time
position Listed on 2026-08-29
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
Care Source is seeking a Clinical Care Reviewer II in Kentucky to process medical necessity reviews for authorization of health care services and assist with discharge planning and care coordination for members. The role requires RN licensure, 3 years of clinical experience, and knowledge of state/federal regulations.
The position involves collaborating with care partners, engaging with medical directors, and referring quality issues to Improvement while supporting non-clinical staff and LPNs as
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