Job Details

A company is looking for a Contingent Independent Review Specialist (IDR/IIDR) to support case review processes remotely.Key ResponsibilitiesComplete IDR/IIDR case reviews in accordance with contract requirements and deadlinesManage assigned deliverables, ensuring accuracy, quality, and timelinessMaintain compliance with all applicable regulations, including HIPAA, FISMA, URAC, and CMS standardsQualificationsExperience in long-term care, assisted living, ICF/IID facilities, or related healthcare settingsKnowledge of state and federal regulations governing healthcare facilities and servicesExperience with utilization review, case management, or healthcare review processes preferredBachelor's degree or equivalent experience in utilization review, case management, or healthcare field requiredNursing or related licensure preferred but not required