Remote Utilization Review Health Care Professional

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Jan 12, 2021

This job expires in: 23 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has an open position for a Remote Utilization Review Health Care Professional.

Core Responsibilities Include:

  • Performing an evaluation of the medical data for the request
  • Collecting additional relevant data as needed to make a decision on medical necessity
  • Analyzing the collected data to determine medical necessity as per evidence-based guidelines

Must meet the following requirements for consideration:

  • Graduate of an accredited school of nursing
  • Valid LVN, RN, DC, or PT license in good standing with no restrictions
  • Possesses and can demonstrate the professional and technical skills of a Registered Nurse
  • Excellent written and oral communication skills
  • Excellent interpersonal skills
  • Strong organization skills

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