Job Description
Utilization Management Nurse Reviewer
About the Position
HealthSmart Management Services Organization, Inc. is looking for a full-time qualified UM Nurse Reviewer who will be responsible for reviewing and processing Authorization requests of medical services from health professions, clinical facilities and ancillary providers. Qualified candidate will coordinate with Providers and their office designees as a resource for their various inquiries and needs.
Experience & Education Requirements:
ACCOUNTABILITY/DUTIES/RESPONSIBILITIES:
WORK ENVIRONMENT, PHYSICAL DEMANDS AND MENTAL DEMANDS:
· Typical office environment with no unusual hazards.
· Repetitive movements with use of keyboard, mouse, and phone.
· Constant sitting while using the computer terminal.
· Constant use of sight abilities while reviewing documents.
· Regularly speak and listen in person, telephone, and remote meetings
· Constant mental alertness must possess planning/organizing skills and must be able to work under deadlines.
· Occasionally required to stand, walk, stoop, kneel, bend, crouch and lift up to but not more than 10 pounds.
HealthSmart Management Service Organization, Inc provides a full suite of benefits:
· Generous contribution toward individual and dependent Medical and Dental Insurance.
· Vision Insurance.
· Supplemental Short Term and Long-Term Disability Insurance.
· Voluntary Life Insurance for subscriber and dependents.
· Flexible Spending Account.
· Generous Paid Time Off plan.
· Paid Holidays.
· Flexible Spending Accounts.
· Discretionary Bonuses.
Company DescriptionHealthSmart MSO, Inc. (HSMSO) is a management service organization serving the needs of providers in a managed care setting. Our Vision is to motivate, facilitate, and create opportunities for our client’s and team. HealthSmart MSO’s goal is to ensure its Managed IPA’s, Medical Groups, Hospitals and Physician Practices have a coordinated cost effective delivery system where quality services to members and physicians are achieved. Together, members and providers work toward a common goal of wellness and preventive medicine. As needs arise, physicians and their members feel comfortable knowing that they will receive care from the most dedicated and friendly managed care team.
HealthSmart MSO, Inc. (HSMSO) is a management service organization serving the needs of providers in a managed care setting. Our Vision is to motivate, facilitate, and create opportunities for our client’s and team. HealthSmart MSO’s goal is to ensure its Managed IPA’s, Medical Groups, Hospitals and Physician Practices have a coordinated cost effective delivery system where quality services to members and physicians are achieved. Together, members and providers work toward a common goal of wellness and preventive medicine. As needs arise, physicians and their members feel comfortable knowing that they will receive care from the most dedicated and friendly managed care team.
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