Senior Review Coordinator

Job not on LinkedIn

🕒 September 3

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 18%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Integrated Management Strategies, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

💼 Consulting

🏛️ Government

🏥 Healthcare

Consulting • Government • Healthcare

Integrated Management Strategies, LLC is a U. S. -based consulting firm and government contractor founded in 2014 that partners with federal, state, local, and commercial clients to deliver healthcare transformation, information technology modernization, cybersecurity, and program/portfolio management services. IMS emphasizes mission-driven outcomes — offering healthcare consulting (including medical coding and clinical transformation), technology and AI/ML-enabled solutions, cyber resilience (ISO 9001 and ISO 27001 certified), and management consulting to support defense, civilian, and commercial organizations. The company holds multiple government contract vehicles (GSA STARS III, SBA 8(a), OASIS, SeaPort NextGen), works with major technology partners (Microsoft, AWS, Google, Databricks), and highlights experience delivering program management, secure cloud and data solutions, and AI-powered capabilities for public-sector missions.

📋 Description

• Perform utilization review of plans of service for home and community-based programs • Review complex plans of service and act as a resource for non-clinical reviewers • Provide independent review decisions for behavioral health services and assess appropriateness of quality of care • Screen situations according to specific criteria to determine whether care is appropriate • Ensure reviews are conducted thoroughly and within specified timeframes • Serve as liaison among providers, facilities, and/or subscribers • Document medical information supporting decisions in the workflow documentation system • Enter data accurately and timely • Participate in approximately 4–6 weeks of remote training during standard business hours

🎯 Requirements

• Active Maryland RN License (OR) Social Worker License • 3–5 years of recent experience working in a clinical environment • Ability to maintain regular and predictable attendance • Good written and oral communication skills • Up to 5% local travel • Prior UM experience preferred • Knowledge of medical coding and billing preferred • Durable Medical Equipment experience preferred • Discharge planning experience preferred • Typing and data entry skills preferred • Familiarity with computer systems and use of multiple monitor work systems preferred • Ability to perform work according to contract, state and/or URAC requirements • E-Verify employment eligibility requirements

🏖️ Benefits

• Fully remote within the US • Remote training • Equal opportunity employer committed to diversity and inclusion • Reasonable accommodation available for the employment process

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