Louisiana Licensed RN Clinician

Job Summary

A company is looking for a Stop Loss Risk Clinician.

Key Responsibilities

• Provide clinical support for the stop loss team
• Review and evaluate medical claims for appropriateness and compliance
• Collaborate with other healthcare professionals to ensure optimal patient care

Required Qualifications

• Registered Nurse (RN) license required
• Experience in clinical settings, preferably in risk management or stop loss
• Knowledge of medical terminology and healthcare regulations
• Ability to work part-time in a remote environment
• Relevant certifications in risk management or related fields are a plus