Clinical Care Reviewer

Integrated Resources INC

8 years ago

Harrisburg, PA

Onsite

Full Time

Medior

0 applicants

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About this role

The Clinical Care Reviewer reviews medical necessity requests for inpatient and outpatient services, ensuring they meet established policies and guidelines. They facilitate discharge planning and escalate issues to Medical Directors when necessary. The role involves applying medical management protocols to authorize services and ensure appropriate patient care coordination.

Skills

Qualifications

Active unrestricted Pennsylvania RN/LPN license3-5 years critical care or ER experience2 years utilization management experience

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.