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RN Utilization Management Specialist

University Health System- San Antonio

Community First Health Plans in San Antonio, TX seeks a nurse to lead utilization management activities, including prior authorization, concurrent and retrospective reviews, and appeals. The role ensures medical necessity and appropriate care within regulatory guidelines. The ideal candidate holds an RN license in Texas, with a BSN preferred, and at least two years in utilization management or related fields. #J-18808-Ljbffr

Vacancy posted 1 day ago
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