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RN Long Term Services Reviewer
A company is looking for a Long Term Services & Support Reviewer Utilization Management, RN. Key Responsibilities Complete care and service needs reviews for Long Term Services and Supports (LTSS) Evaluate authorization requests and apply medical health benefit policy to ensure appropriate services are approved Document case activities and maintain compliance with authorization timeliness standards Required Qualifications Bachelor's Degree required Professional licensure in health care or social services-related field preferred Registered Nurse is preferred Three or more years of experience in a related clinical or social services setting Expertise in addressing the needs of the Long Term Services and Support population
A company is looking for a Long Term Services & Support Reviewer Utilization Management, RN.
Key Responsibilities
Complete care and service needs reviews for Long Term Services and Supports (LTSS)
Evaluate authorization requests and apply medical health benefit policy to ensure appropriate services are approved
Document case activities and maintain compliance with authorization timeliness standards
Required Qualifications
Bachelor's Degree required
Professional licensure in health care or social services-related field preferred
Registered Nurse is preferred
Three or more years of experience in a related clinical or social services setting
Expertise in addressing the needs of the Long Term Services and Support population