Nurse: Medical Necessity & Utilization Review (Home Health)
Kaiser Permanente
Kaiser Permanente in Georgia is seeking a Nurse Reviewer to perform medical necessity reviews for Home Care and DME services. You will telephonically assess referrals using established criteria, coordinate with case managers and social workers, and ensure timely decisions in line with policies and HIPAA regulations. The role requires clinical nursing experience (3+ years) or completion of KP Georgia's Nurse Residency, BSN preferred, and Georgia RN licensure. #J-18808-Ljbffr Kaiser Permanente
Vacancy posted 3 days ago
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