Utilization/Appeals Review Nurse
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UTILIZATION REVIEW NURSE
If you answered yes to any of these questions, this Utilization Review Nurse position might be the change you’re seeking.
AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with clients toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services. AllMed is mission-driven to improve the quality and integrity of healthcare and is a recognized leader in this dynamic market.
We are currently seeking experienced Prior Authorization/Appeals Utilization Review Nurses to join our clinical operations team, working onsite in our beautiful office in downtown Portland, Oregon, or remote from home.
In this role, you will work closely with our medical directors and national peer physician specialists to provide written medical chart reviews and determinations for prior authorizations and appeals of medical treatments and procedures in nearly all specialties and sub-specialties of medicine.
The Utilization Review Nurse role includes:
AllMed offers generous compensation, and our competitive benefits program includes comprehensive medical and dental care, matching 401K, paid time off, flexible spending accounts, disability coverage, and other benefits that help provide financial protection.
AllMed provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, AllMed complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
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AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.