About this opportunity
Onvida Health lists this RN Utilization Review Specialist – Nights (Inpatient Care) opportunity in yuma, Arizona. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Onvida Health is seeking an RN Utilization Review Specialist to perform prospective and concurrent medical record reviews to determine medical necessity and appropriate level of care in line with CMS regulations and payer requirements.
You will communicate with payers to obtain authorizations, support appeals, and educate clinicians on documentation standards to ensure compliant, efficient care and optimal reimbursement.
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Worksite address
yuma, AZ, 85365, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.