Job is Expired
Location: Alabama, Arkansas, Florida, Georgia, Mississippi, Missouri, North Carolina, South Carolina, Tennessee, Virginia
Compensation: To Be Discussed
Staff Reviewed: Tue, Jul 26, 2022
Job Summary
A health services company is searching for a person to fill their position for a Remote Utilization Management Clinical Review.
Core Responsibilities Include:
- Initiating referrals to ensure appropriate coordination of care
- Seeking the advice of the Medical Director when appropriate, according to policy
- Assisting non-clinical staff in performance of administrative reviews
Position Requirements Include:
- 3 years - Clinical experience required
- Registered Nurse (RN) with active license in the state of Tennessee or state of residence
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Ability to manage multiple projects and priorities
- Working knowledge of URAC, NCQA and CMS accreditations
