Utilization Review Jobs in Lincoln
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Search Results - Utilization Review Jobs in Lincoln
Humana Inc-Lincoln-appcast.io-
and Physicians with Inpatient or Utilization Review Experience
Role Overview
• Provide expert clinical review of inpatient medical records and determine medical necessity based on national guidelines, CMS requirements, Humana policies, and clinical standards...
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Humana Inc-Lincoln-appcast.io-
A healthcare organization is seeking a Medical Director to provide expert clinical review of inpatient medical records. You will engage with external providers and work within a collaborative team ensuring guideline-aligned inpatient care.
Required...
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Humana Inc-Lincoln-appcast.io-
A leading healthcare company is seeking a Medical Director to ensure quality inpatient care through expert clinical reviews and collaboration with physicians. Candidates should hold an MD or DO with over 5 years of post-residency experience, possess...
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Humana Inc-Lincoln-appcast.io-
Medicine, or those experienced in Utilization Review are encouraged to apply.
Role Overview
• Perform expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, Humana policies...
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