Clinical Care Reviewer UM (RN/LPN)

Integrated Resources INC

9 years ago

Des Moines, IA

Onsite

Full Time

Medior

0 applicants

View Job Listing

Apply to 100+ jobs

About this role

The Clinical Care Reviewer UM is responsible for conducting medical necessity reviews for provider requests related to inpatient and outpatient services, utilizing clinical judgment and adhering to policies. The role involves evaluating information, making authorization decisions, and identifying care coordination opportunities while working independently in a healthcare setting.

Skills

About Integrated Resources INC

irionline.com

Integrated Resources, Inc. (IRI) is a global talent acquisition and workforce solutions firm that partners with organizations to boost hiring potential. They provide end-to-end recruitment and staffing services—placing temporary, contract and permanent talent—and deliver workforce planning and hiring support across industries and geographies. IRI emphasizes tailored, scalable sourcing and compliance-aware hiring to help clients fill roles quickly with qualified professionals. Clients rely on their global reach, market expertise, and hands-on account support to streamline recruiting and workforce outcomes.