About this role
In charge of managing 15 or more Utilization Review team
Monitors daily operational tasks of her span and provides support when needed.
Also able to do UR work when needed.
(In charge of reviewing Medical necessity of medical procedures and treatments and may require decision making for UR claims. May require outbound calls to doctors or providers in case of missing documents that would be needed in the review. Initial Clinical Reviewer is allowed to make certifications and coordinate with Peer Reviewer for any Non-certifications.)
In charge of managing 15 or more UR team
Monitors daily operational tasks of her span and provides support when needed.
Also able to do UR work when needed.
USRN registered with at least 2 years clinical exp