2 results for Utilization Reviewer Jobs in Omaha, NE, US

Responsible for reviewing clinical information to determine medical necessity in utilization management, coordinating care, and interacting with physicians and other stakeholders. Requires proficiency in Microsoft Windows and experience in case management or discharge planning.

Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimant...