Remote IDR Reviewer

Job Summary

A company is looking for a Contingent IDR/IIDR Reviewer (remote).

Key Responsibilities

• Completes IDR reviews within contractual time frames according to URAC standards
• Utilizes time and project management skills to ensure timely completion of activities and addresses potential delays
• Maintains compliance with security guidelines and keeps up to date with regulatory requirements

Required Qualifications

• At least 5 years of previous surveyor experience required
• Relevant experience in long-term care, assisted living, or ICF/IID facilities
• Regulatory expertise in nursing, social work, or life safety codes
• Bachelor's Degree or equivalent experience in utilization review or case management required
• Nursing or related licensure preferred