California Licensed Clinical Nurse

Job Summary

A company is looking for a Clinical Program Nurse responsible for clinical oversight of the Physician Review Services coordination team.

Key Responsibilities

• Manage the operations of the Physician Review Services coordination team and assist in clinical scenario interpretations
• Onboard physicians to the peer review panel and provide training on the PRS system
• Monitor and document case activities, review medical records, and ensure compliance with clinical criteria

Required Qualifications

• ASN degree or equivalent; BSN/MSN preferred
• 5+ years of clinical nursing experience
• Managed care and supervisory experience
• Current professional license or certification in good standing
• Must complete continuing education requirements as outlined by educational services