Kansas Licensed Utilization Review Specialist

Job is Expired

Location: Remote

Compensation: To Be Discussed

Reviewed: Mon, Dec 15, 2025

Job Category: Healthcare

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A company is looking for a Utilization Review Specialist- Clinical Reviewer.

Key Responsibilities

Provide clinical expertise and act as a liaison between customers, providers, and recipients
Make prior authorization determinations and assist in adjudicating medically complex prior authorizations
Recommend program improvements and support drafting provider manuals and related publications

Required Qualifications

Bachelor's degree or equivalent work experience
Minimum of two years Medicaid or healthcare experience preferred
Active RN or LPN license in the United States

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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