Independent Review Specialist
virtual vocationsNew York, NY
About the role
To support IDR/IIDR case review processes, the Independent Review Specialist will conduct objective reviews, develop evidence-based recommendations, and ensure compliance with regulatory standards in a contingent remote position requiring flexibility for up to 10 hours per week.
Key Responsibilities:
Conduct objective reviews of IDR/IIDR cases involving healthcare regulatory citations
Develop clear, concise, evidence-based written recommendations within established deadlines
Facilitate IDR/IIDR conferences and perform accurate data entry into internal databasesRequired QualificationsBachelor's degree or equivalent experience in utilization review, case management, or healthcare field required
Experience in long-term care, assisted living, ICF/IID facilities, or related healthcare settings
Knowledge of state and federal regulations governing healthcare facilities and services
Background in nursing, social work, or CMS surveyor training is highly desirable
Experience with utilization review, case management, or healthcare review processes preferred
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JOB OVERVIEW
Experience level
Senior
Location
New York, NY
Occupation
Clinical Nurse Specialists
Industry
Services for the Elderly and Persons with Disabilities
Posted
2 days ago
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