Independent Review Specialist

A company is looking for a Contingent Independent Review Specialist (IDR/IIDR) to support case review processes remotely. Key Responsibilities Complete IDR/IIDR case reviews in accordance with contract requirements and deadlines Manage assigned deliverables, ensuring accuracy, quality, and timeliness Maintain compliance with all applicable regulations, including HIPAA, FISMA, URAC, and CMS standards Qualifications Experience in long-term care, assisted living, ICF/IID facilities, or related healthcare settings Knowledge of state and federal regulations governing healthcare facilities and services Experience with utilization review, case management, or healthcare review processes preferred Bachelor's degree or equivalent experience in utilization review, case management, or healthcare field required Nursing or related licensure preferred but not required