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
