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Utilization Management Coordinator - NY Licensed

Company: VirtualVocations
Location: Cedar Rapids
Posted on: November 8, 2024

Job Description:

A company is looking for a Utilization Management Coordinator to support utilization review cases.



Key Responsibilities

Conduct timely medical reviews and issue authorizations based on evidence-based criteria
Coordinate peer-to-peer review appointments and manage documentation requests from providers
Organize and present audits to ensure compliance with case management requirements


Required Qualifications

1 year of utilization management experience
Bachelor's Degree in Nursing
Current licensed professional registered nurse, preferably with fertility experience
Knowledge of CPT, HCPCS, ICD-10 codes, and medical terminology
Experience working with CRM platforms and Microsoft Office Suite

Keywords: VirtualVocations, Cedar Rapids , Utilization Management Coordinator - NY Licensed, Executive , Cedar Rapids, Iowa

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