Job Summary
A business process outsourcing company is searching for a person to fill their position for a Remote Nurse Utilization and Clinical Advisor Services Analyst.
Must be able to:
- Follows all standards and protocols for URAC accreditation
- Accurately and completely documents in file using standard documentation format(s)
- Direct certified care into network providers as applicable
Skills and Requirements Include:
- Active and unencumbered registered nursing license with two years clinical nursing experience
- Utilization review experience required
- Worker’s compensation or Occupational Medicine or Rehab experience desirable
- Strong organizational, communications, and time management skills
- Knowledge of ICD10 coding and CPT procedures
- Knowledgeable in MS OFFICE
