Remote RN Utilization Review Specialist
Ascension
Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary team, coordinate with care teams, oversee CMS and payer regulations, and help with precertifications, denials, and discharge planning. This role emphasizes safe transitions and data-driven reporting. #J-18808-Ljbffr
Vacancy posted 11 hours ago
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