Remote Utilization Management Clinical Reviewer

Job is Expired

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Mon, Feb 06, 2023

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A provider of home health benefits management services is seeking a Remote Utilization Management Clinical Reviewer.

Must be able to:

Perform an initial evaluation of the referral appropriateness
Request additional clinical information when needed
Ensure case review and elevation to complete the determination is rendered

Required Skills:

Associate's Degree or Diploma in Nursing/Practical Nursing
Registered Nurse/LPN/LVN with Licensure in the state(s) of practice
Hold an active, current and unrestricted license
2 years in a clinical setting
1-2 years prior authorization experience for Medicare or Medicare Advantage Home Health
Proficient analytical, negotiation, communication, problem solving and decision making skills

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Job is Expired

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Remote Utilization Management Clinical Reviewer

Job Summary

COMPLETE JOB DESCRIPTION

Company Overview

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