Licensed Clinical Specialist
Company: VirtualVocations
Location: Far Rockaway
Posted on: April 5, 2025
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Job Description:
A company is looking for a Claims Clinical Specialist - In-House
Certification Specialist.
Key Responsibilities
Conduct telephonic assessments and communicate with medical
personnel to develop care plans and provide certifications
Obtain and analyze medical records to understand disease
progression and care needs
Identify process improvement opportunities and collaborate with
teams to enhance performance and support continuous improvement
initiatives
Required Qualifications
Active Licensed Social Worker or Registered Nurse
At least two years of experience in a relevant role with knowledge
of medical conditions affecting the aging process
Ability to understand and interpret medical documentation and
insurance contracts
Demonstrated experience in risk management and making sound
business decisions
Good working knowledge of systems applications (e.g., WORD, EXCEL,
PowerPoint)
Keywords: VirtualVocations, New York , Licensed Clinical Specialist, Healthcare , Far Rockaway, New York
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