Remote Utilization Review Nurse | P2P & Denials Expert
Santa Barbara Cottage Hospital
New York, NY
- Remote job
Mass General Brigham Incorporated is seeking a P2P Utilization Review Nurse to join the Central Utilization Management team. You will identify, prepare, and clinically review cases requiring payer peer-to-peer discussions, focusing on concurrent level-of-care denials and using InterQual/MCG criteria with thorough documentation. You will collaborate with Physician Advisors, Emergency Department teams, Care Management, and UM colleagues to ensure accurate level-of-care determinations, support #J-18808-Ljbffr Santa Barbara Cottage Hospital
Vacancy posted 1 day ago
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