Quality Review Specialist

Title: Quality Review Specialist Job Location: 100% Remote job Duration: 6 Months (Possible Extension) This is a M-F shift 40 hours per week, but mandatory to work holidays (rotating scheduled 3-4 holidays per year) and one weekend every 3rd weekend. Job Description 1Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS) to ensure appeal process meets established guidelines. 2.Adhere to accreditation and regulatory requirements to improve customer service …