Remote Utilization Management Clinical Specialist (RN)

Maine Community Health Options is seeking a Clinical Specialist who provides clinical decision-making support and coordinates community resources to support medical management. This role analyzes documentation for medical necessity, collaborates with the Medical Director, and ensures efficient utilization management across the health continuum. Remote work is required, with secure home office setup. Responsibilities include coordinating referrals, documenting in accordance with policy, and #J-18808-Ljbffr