What are the responsibilities and job description for the Ohio Licensed Utilization Review Specialist position at Alternate Solutions Health Network?
A company is looking for a Remote Utilization Review Specialist I.Key Responsibilities : Review patient charts and collect data to identify areas for clinical and administrative improvementDevelop and implement process improvements, including Oasis Review and Orders ProcessingEnsure compliance with legal, Medicare, private insurance, and company regulationsRequired Qualifications : Registered Nurse (RN) with current state licensure in relevant statesMinimum of 3 years of experience in Home Care or Quality ImprovementKnowledge of CMS guidelines and quality metricsProficiency in Microsoft Office, especially Word and ExcelAbility to learn new software and analyze data effectively
