Utilization Review Nurse LVN/LPN — Case Management & Compliance
Neuehealth
NeueHealth is seeking an experienced Concurrent Utilization Review (UR) Nurse to perform real-time clinical reviews verifying medical necessity for managed care plans. You will assess inpatient admissions and continue stays, coordinate with providers, and communicate with payers under clinical guidelines. Reporting to the Medical Director, you will escalate complex cases, prepare summaries, and ensure compliance with NCQA/URAC standards while supporting care transitions and documentation in the #J-18808-Ljbffr Neuehealth
Vacancy posted 1 day ago
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