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Independent Review Specialist

L5

virtual vocationsDenver, COtoday
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 databases
Required Qualifications: Bachelor'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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Level

SeniorL5

Location

Denver, CO

Occupation

Clinical Nurse Specialists

Industry

Services for the Elderly and Persons with Disabilities

Posted

today

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