Remote Utilization Review Case Manager

Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Mon, Jun 06, 2022
This job expires in: 3 days
Job Summary

A risk management company is in need of a Remote Utilization Review Case Manager.

Core Responsibilities Include:

  • Collecting data and analyzing information
  • Identifying the necessity of the review process

Position Requirements Include:

  • Ability to promote and market utilization review products with attorneys and claims staff
  • Must have a thorough knowledge of both CPT and ICD coding
  • Strong ability to negotiate provider fees effectively
  • Ability to interface with claims staff, attorneys, physicians and their representatives
  • RN is required unless local state regulations permit LVN/LPN
  • Graduate of accredited school of nursing with a diploma/Associates degree
COMPLETE JOB DESCRIPTION

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