Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification... & Qualifications Experience with MCG or Interqual is preferred. Utilization review experience is a plus. Work Environment The...
experience in a managed care setting focused on experience in utilization review/case management and at least two years case.../comprehensive manner Develop a case management care plan for each patient based on a thorough history and clinical record review...
Prior experience of working in inpatient case management or utilization review is preferred Strong medical surgical... (United States of America) The Remote Clinical Documentation Specialist (CDS) demonstrates strong clinical knowledge...
/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful...-oriented environment. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology...