UM Review Nurse
Astrana Health
Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans. This position requires open availability between Monday through Sunday, 8 A - 8 P. You would be scheduled for 5 shifts per week. This is a remote position for CA-licensed nurses. Candidates must live in California. We are seeking nurses with at least one year of outpatient Utilization Management experience in a fast-paced setting. Our Values: Put Patients First. Empower Entrepreneurial Provider and Care Teams. Operate with Integrity & Excellence. Be Innovative. Work As One Team. Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment. Refer cases to Medical Directors as needed/appropri...Nurse, Medical Director, Medical Equipment, Healthcare, Patient
Vacancy posted 3 days ago
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