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Pennsylvania Licensed Utilization Reviewer
A company is looking for a Utilization Reviewer who can work remotely from home. Key Responsibilities Perform utilization review on workers' compensation treatment referrals to assess medical necessity Collaborate with healthcare providers and stakeholders to gather information for comprehensive assessments Evaluate medical documentation for compliance with industry standards and communicate findings effectively Required Qualifications Active Registered Nurse (RN) license in the state of PA Minimum of 2 years of clinical experience or an advanced degree without experience Knowledge of medical terminology and healthcare guidelines Analytical and critical thinking skills for decision-making Familiarity with relevant software and tools used in healthcare
A company is looking for a Utilization Reviewer who can work remotely from home.
Key Responsibilities
Perform utilization review on workers' compensation treatment referrals to assess medical necessity
Collaborate with healthcare providers and stakeholders to gather information for comprehensive assessments
Evaluate medical documentation for compliance with industry standards and communicate findings effectively
Required Qualifications
Active Registered Nurse (RN) license in the state of PA
Minimum of 2 years of clinical experience or an advanced degree without experience
Knowledge of medical terminology and healthcare guidelines
Analytical and critical thinking skills for decision-making
Familiarity with relevant software and tools used in healthcare
