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Remote UM Lead & CDI Mentor (RN)

Omega Healthcare Management Services Pvt. Ltd.

Omega Healthcare Management Services Pvt. Ltd. is seeking a Clinical Utilization Management RN to lead review programs and collaborate with care teams in a remote home-office setting.

The role requires strong knowledge of InterQual criteria, Medicare guidelines, and payer policies, with UR/UM experience and staff mentoring. Responsibilities include medical necessity reviews, coordinating authorizations, developing standardized workflows, and KPI monitoring to drive regulatory compliance and

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Vacancy posted 3 days ago
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