Remote Utilization Management Care Review Clinician I in Louisville

Location: Kentucky

Compensation: Hourly

Staff Reviewed: Tue, Oct 27, 2020

Job Category: Healthcare

Remote Level: Partially Remote

Employer Type: Staffing Agency

Career Level: Experienced

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)