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Care Review Clinician

Remote: Kentucky, Kentucky, US

Salary Range: 40.00 - 42.00 | Per Hour

Job Code: 361884

End Date: 2025-06-11

Days Left: 29 days, 3 hours left

Responsibilties:

  • The Utilization Management Nurse will work primarily with the Utilization Management team to conduct inpatient medical necessity/utilization reviews and other utilization management activities. 
  • Conduct Utilization Management reviews using the medical management system within department policy and procedure.
  • Identify appropriate benefits, eligibility, and expected length of stay for members.
  • Attend regular staff meetings and assist with mentoring new team members.

Education: - Ky License as RN, LPN, or SW

Pay Rate: $42/Hour

Job Requirement
  • NCQA
  • InterQual
  • HIPAA
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Vishwajeet Anand
  • vishwajeet.anand@collabera.com
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