
Utilization Review Specialist
1 week ago
Our team is seeking a skilled Utilization Review professional to join our virtual process. They will be responsible for assessing and interpreting customer needs, requirements, and medical records.
Responsibilities include reviewing medical claims for medical necessity and ensuring that our services meet the highest standards of quality.
To be successful in this role, candidates must possess active PHRN and USRN Mainland License, as well as 1 year Bedside experience, preferably with UR/UM experience but not required.
Benefits of this position include:
- Work from home
- Opportunity to work with a dynamic and growing team
As a member of our team, you will have the opportunity to develop your skills and advance your career in a supportive and challenging environment.
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