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Medical Management Clinician Senior -Licensed N...

Remote · USA Full-time New today

JR186718   Anticipated End Date: 2026-04-13  Position Title: Medical Management Clinician Senior -Licensed Nurse  Job Description: Medical Management Clinician Senior -Licensed Nurse   Location: Tampa, FL Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.   Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.   The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessities under relevant guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a registered nurse. Acts as a resource for more junior Clinicians. How you will make an impact:

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