About this opportunity
Hamaspik Choice lists this Senior Utilization Review Nurse - CMS Compliance Leader opportunity in village of spring valley, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Hamaspik Choice in Spring Valley, NY seeks a licensed Utilization Review Nurse to lead Medicare review activities, oversee DRG validation, and ensure decisions align with CMS guidelines. You will coordinate with external review entities and internal teams to optimize the utilization workflow.
The role requires a 4-year degree, strong regulatory knowledge, and collaboration with clinical staff and vendors to maintain compliant, evidence-based reviews.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.