Utilization Review Specialist - Las Vegas
1 month ago

Job summary
We are seeking a full-time Utilization Review Specialist to play a key role in ensuring the efficient, accurate and timely processing of Utilization Management and Independent Review requests for our clients.
Responsibilities
- Review and process Independent Review (IR) requests for potential conflicts of interest.
- Request and organize additional medical documentation for Physician Advisors.
- Schedule peer-to-peer calls as needed.
Job description
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