Licensed Clinical Letter Writer

Company: VirtualVocations
Location: Athens
Posted on: April 14, 2025

Job Description:

A company is looking for a Clinical Letter Writer with UM & Specialty Experience.
Key Responsibilities

Review adverse determinations against criteria and medical policies
Create adverse determination notifications that meet accreditation, State, and Federal criteria
Collaborate with internal and external staff to ensure clear communication of decisions

Required Qualifications

Licensed registered nurse or LVN/LPN (current and unrestricted)
Minimum of three years of direct clinical patient care
Minimum one year of experience with Utilization Review (UM) in a managed care environment
Cardiology and Oncology healthcare experience/knowledge
Experience with clinical decision-making criteria sets (e.g., Milliman, InterQual)

Keywords: VirtualVocations, Atlanta , Licensed Clinical Letter Writer, Healthcare , Athens, Georgia

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