Job description
About Integrated Management Strategies (IMS) LLC
We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 39 US states.
What We Do
We support the mission critical needs of federal agencies by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges.
How We Do It
We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems.
About the role
Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Sr Review Coordinator to join our healthcare consulting practice. The role is fully remote within the US. We are proud of our national presence, and excited to offer great career opportunities within the organization.
As a Senior Review Coordinator, you will be responsible for performing utilization review of plans of service for home and community-based programs. You will review the complex plans of service and act as a resource for non-clinical reviewers. This position directly impacts the MD population and their access to much-needed services. This position makes a difference in people’s lives by ensuring they receive adequate support to remain at home instead of an institution.
Training for this role will take place remotely. Training is expected to run for approximately 4-6 weeks during standard business hours. Training duration is dependent upon the individual and may run longer or shorter depending on needs.
What you'll do
Perform utilization review of plans of service for home and community-based programs
You will review the complex plans of service and act as a resource for non-clinical reviewers
You will provide independent review decisions for behavioral health services and the appropriateness of quality of care based on contract, state and/or URAC requirements
You will screen situations according to specific criteria to determine if care is appropriate
Ensure review is conducted thoroughly and within specified timeframes
Serve as liaison among providers, facilities, and/or subscribers
Document medical information supporting decisions into the workflow documentation system, ensuring data is entered accurately and timely
Required Qualifications
Active Maryland RN License (OR) Social Worker License
3 – 5 years of recent experience working in a clinical environment
Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential
Good written and oral communication skills
Up to 5% local travel
Preferred Qualifications
Prior UM experience
Knowledge of medical coding and billing
Durable Medical Equipment experience
Discharge planning experience
Typing and data entry skills, familiarity with computer systems, and use of multiple monitor work systems
Integrated Management Strategies is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, gender identity, national origin, disability, pregnancy, status as a protected veteran, or any other protected characteristic as outlined by federal, state, or local laws. If you are an individual with a disability and would like to request a reasonable accommodation for the employment process, please email your request to
E-Verify® is a registered trademark of the U.S. Department of Homeland Security. This business uses E-Verify in its hiring practices to achieve a lawful workforce. www.dhs.gov/E-Verify
The salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary rate for this position will be determined by a number of factors, including, scope, complexity, and location of the role; the skills, education, training, credentials, and experience of the candidate, and other conditions of employment.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.