Senior Medical Reviewer

Job is Expired
Location: Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, Wyoming
Compensation: Salary
Reviewed: Wed, Sep 06, 2023

Job Summary

A company is looking for a Senior Medical Reviewer to join their team.

Key Responsibilities:
  • Act as Team Lead for specialty programs, medical review, utilization management, and case management areas
  • Provide assistance and support to unit supervisor/manager by giving direction/guidance/training to staff
  • Ensure appropriate levels of healthcare services are provided
Required Qualifications:
  • Associate Degree in Nursing, 4-year degree in health-related field, or Master's Degree in Occupational Therapy, Physical Therapy, Social Work, Psychology, or Counseling
  • 4 years clinical experience or 2 years clinical and 2 years medical review/utilization review experience
  • Strong clinical experience in home health, rehabilitation, and/or broad medical surgical experience
  • Working knowledge of managed care and various forms of healthcare delivery systems
  • Working knowledge of specific criteria/protocol sets and the use of the same

COMPLETE JOB DESCRIPTION

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