RN Coverage Review Nurse Clinician, Work from Home, Anywhere, USA

Role Summary:

Nurse clinicians are responsible for reviewing if coverage can be granted for a medication based on guidelines established by each particular plan. Work closely with utilization management pharmacists and physicians.

Responsibilities:

• Utilizes multiple systems and other clinical resources to research information
• Applies patient assessment skills to provide pharmacists and medical directors key information to aid in their reviews
• Works and maneuvers within a queue system that prioritizes clinical reviews
• Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience