Job Posting for Consultant-Nurse at Integrated Resources, Inc ( IRI )
Pay Rate: `20/Hr on W2 Skills:
Proficient in Word.
Interqual experience preferred.
Essential Duties and Responsibilities:
Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations and project requirements.
Draft clinical summaries for medical review in accordance with applicable regulations and project requirements.
Render medical necessity determinations for assigned cases.
Resolve all other technical issues within reconsideration assigned.
Review medical records, cases or sites assigned to determine and summarize facts and assess any issues identified.
Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
Sign up to receive alerts about other jobs that are on the Consultant-Nurse career path.
Click the checkbox next to the jobs that you are interested in.
Sign up to receive alerts about other jobs with skills like those required for the Consultant-Nurse.
Click the checkbox next to the jobs that you are interested in.