Job Summary
A staffing firm is filling a position for a Remote Utilization Management Care Review Clinician I in Louisville.
Candidates will be responsible for the following:
- Provide concurrent review and prior authorizations (as needed)
- Attend regular staff meetings
- Consult with and refers cases to medical directors regularly, as necessary
Must meet the following requirements for consideration:
- Travel may be required
- Excellent organizational skill with the ability to manage multiple priorities
- Experience with NCQA
- Excellent verbal and written communication skills
- Computer Literate (Microsoft Office Products)
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
