MDS Utilization Review Nurse (US Healthcare) L-CM  

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Description

ISTA Solutions is currently looking for experienced PHRN who have previous experience dealing with US Healthcare Insurance accounts, particularly in Utilization Management. This position entails semi-back-office work dealing with US-based Clients related to Claims, Benefits, Eligibility, Appeals, Prior Authorization, and particularly in MDS Utilization Review . […]
Performs Utilization Management (UM) Reviews in accordance with US State/Federal and other mandated regulations. Maintains compliance with regulatory changes affecting UM.
Performs UM reviews (Prospective/Concurrent/Retrospective) for...

5 days ago from: workable.com

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