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Telecommute Cardiology Utilization Management Reviewer in Houston


This is a Full-time position in Pasadena, TX posted July 30, 2021.

A healthcare company has an open position for a Telecommute Cardiology Utilization Management Reviewer in Houston.Core Responsibilities of this position include: Performing utilization review of cases to determine if the request meets criteria Facilitating resolution of escalated cases that may require special handling Collecting and entering confidential information ensuring the highest level of confidentiality in all areasRequired Skills: RN, LPN/LVN graduate from an accredited school of nursing Current, active unrestricted RN, LPN/LVN license in the state or territory of the U.S. Minimum of 2 years previous utilization review experience in a managed care setting Familiar with State and Federal standards/requirements Working knowledge of NCDs, LCDs, MCG, and InterQual

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