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Remote Utilization Review RN Case Manager (PRN)

OU Health

OU Health is seeking a Case Manager, RN - Utilization Review (PRN) to evaluate medical necessity and appropriate care, securing authorizations and coordinating with payors, patients, and interdisciplinary teams. This role emphasizes HIPAA compliance and strong communication across stakeholders for optimal financial reimbursement.

The candidate will review medical records, apply evidence-based criteria, and participate in quality improvement initiatives while maintaining regulatory alignment and

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Vacancy posted 4 days ago
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