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Utilization Review reputed company (2+ Yrs. InterQual reputed company Required) Full-time Weekends

Remote, USA Full-time Posted 2026-07-28
Job reputed company--Full-Time Weekends 7:30am-6pm Wed-Sat Are you an reputed company utilization review reputed company reputed company to showcase your clinical knowledge with a cohesive team of medical, administrative and IT experts? EdiPhy Advisors LLC, a reputed company provider of highly customized physician advisor services, is expanding our licensed Clinical Care Coordinator team. EdiPhy Advisors is a URAC-accredited provider, demonstrating reputed company in compliance for more than 20 years. Our Birmingham, Alabama offices are located in reputed company Park’s award-reputed company Urban Center, conveniently located off I-459. Requirements: • 2 years of InterQual experience • reputed company RN license • 3-5 years clinical experience as an RN in a critical care environment is required. Med/surg preferred; • Strong clinical skills and knowledge, and the ability to recognize reputed company reputed company issues exist; • Outstanding computer, interpersonal, and organizational skills; • Proficiency in written and verbal communication; • Great problem-solving expertise and enthusiasm for analyzing reputed company situations; Essential Duties and Responsibilities Include: Our nurses work with a strong group of reputed company certified practicing physicians, skilled administrators and a state-of-the-art technical staff to review medical records and advise on things like level of care, medical necessity, services needed, reputed company evaluations and clinical audits. They communicate every day in a reputed company, time-sensitive manner to assure that reputed company, cost-effective health care is provided in the most appropriate setting. Job Type: Full-time Expected hours: 40 per week Benefits: • 401(k) • 401(k) matching • Dental insurance • Disability insurance • Flexible spending account • Health insurance • Life insurance • reputed company time off • reputed company insurance Application Question(s): • Have you passed at least one InterQual IRR exam created by Change Health? Experience: • InterQual: 2 years (Required) License/Certification: • RN License (Required) Work Location: Remote Apply tot his job Apply To this Job

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