Major Hospital in the United States is seeking a skilled utilization review professional to review medical records for necessity and appropriateness of care. You will collaborate with providers, staff, insurers, and case managers to ensure patients receive the right level of care per industry standards.
The role requires several years of clinical experience and proficiency with healthcare information systems, with PRN status on Integrated Case Management and weekend/evening variances.
#J-18808-LjbffrRemote Utilization Review Specialist in shelbyville at Unknown Company
This position is listed as full time and onsite.