Executives-Training-Clinical Training (NCLEX Scholars)

• Responsible for the review and evaluation of clinical information and documentation.
• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
• Independently coordinates the clinical resolution with internal/external clinician support as required.

Qualifications for Internal Candidates

• Active PRC - RN License
• With at least 2 years Hospital or Bedside Experience