Utilization Management Nurse
Oak Street Health
Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services. The role relies on UM criteria, clinical judgment, and internal policies to recommend medically appropriate care, coordinating with internal and external teams as needed. The Physician Reviewer will stay current with CMS and MCG guidelines, ensure regulatory compliance, and participate in initiatives to improve UM outcomes. #J-18808-Ljbffr
Vacancy posted 3 days ago
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