Remote Utilization Management RN - Care Quality & UM Leader
Renown Health
Renown Health is seeking a Utilization Management RN to apply medical necessity criteria for prospective and concurrent reviews. You will work with an interdisciplinary team to ensure medically necessary, cost-effective care at the appropriate level of care.
The role includes tracking denials, supporting discharge planning, and ensuring timely disposition of cases. Knowledge of CMS/NCQA standards is essential.
#J-18808-LjbffrVacancy posted 5 hours ago
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