Remote RN Utilization Review Specialist
Highmark Health
Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials for a seamless patient care continuum. You will liaise with third party payers, clinicians and care teams to ensure appropriate levels of care and timely approvals.
This remote role requires PA RN licensure (or multi-state eNLC), a care-management certification within 5 years, and 2–3 years of nursing experience with 1 year in utilization management.
#J-18808-LjbffrVacancy posted 1 day ago
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