RN Appeals & Utilization Review Specialist
MetroHealth
The MetroHealth System in Ohio seeks an experienced Utilization Management Nurse at MetroHealth Medical Center. You will advocate for patients to ensure services are medically necessary and properly approved, coordinating with insurance policies and care teams. Analyze medical records, review criteria, and engage with clinicians to support appeals, while promoting evidence-based and cost-effective care delivery in a collaborative, multidisciplinary environment. #J-18808-Ljbffr MetroHealth
Vacancy posted 23 hours ago
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