START DATE: **(Currently) Non Negotiable 5/25 Start**
**MUST have Oregon Licensure in hand, cannot wait for pending license**
Role: Fully Remote Part Time Clinical Documentation Specialist RN Position
NBO: 0 Hours
Certs Required: BLS, RN, ***OREGON LICENSURE IN HAND*** (Please do not submit RN without Oregon Licensure)
Education Preferred: MSN
Experience Required: 5 Years of Clinical Experience
Experience Preferred: 2 years of Medical Case Management; 2 years experience in managed care or in workers' compensation insurance.

General Summary:
The MCO Clinical Reviewer is accountable for utilization management activities including evaluation of appropriateness and medical justification of health services for MCO eligibles. The position has specific focus on researching, developing, and communicating implementation of Medical Policies, including facilitating Medical Policy Committee work. In addition, the position is respons...