Remote Utilization Review Nurse - RN (Medicare/UM)
American Health Communities
Franklin, TN
- Remote job
American Health Plans in Franklin, TN is seeking a Utilization Review Nurse to assess medical necessity and quality of care across pre-service, concurrent, and retrospective reviews. You will support the Clinical Services Department and Medical Director to ensure compliant access to necessary services. This role requires an RN license, experience in utilization management, knowledge of InterQual/MCG criteria, and strong communication skills. #J-18808-Ljbffr American Health Communities
Vacancy posted 2 days ago
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