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Job Requirements of Utilization Review (UR) - Critical Need:
-
Employment Type:
Contractor
-
Location:
Atlanta, GA (Onsite)
Do you meet the requirements for this job?
Utilization Review (UR) - Critical Need
Careers Integrated Resources Inc
Atlanta, GA (Onsite)
Contractor
Description:
Department: Quality Resource Management
Responsibilities: performs medical necessity reviews for outpatient services utilizing MCG guidelines, KP and LCD criteria. Refers cases to Medical Director for potential denials
Float department (if needed):
Certificates required:
Shift:
08:00 AM to 05:00 PM
Shift Notes:
Start Time 08:00 to End Time 17:00; Rotating weekends and holidays
Specialty:
RN
Winter Plan Need:
No
Department: Quality Resource Management
Responsibilities: performs medical necessity reviews for outpatient services utilizing MCG guidelines, KP and LCD criteria. Refers cases to Medical Director for potential denials
Float department (if needed):
Certificates required:
Shift:
08:00 AM to 05:00 PM
Shift Notes:
Start Time 08:00 to End Time 17:00; Rotating weekends and holidays
Specialty:
RN
Winter Plan Need:
No
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