Utilization Management Registered Nurse
Wellstar Health Systems, Inc.
The on-site Utilization Management Registered Nurse reviews patient records and care plans to assess medical necessity, patient classification, and appropriate level of care. The nurse collaborates with physicians and interdisciplinary teams, applies screening criteria, supports care progression, monitors payer and Medicare/Medicaid compliance, and helps prevent denials through timely documentation and escalation.
Vacancy posted 3 days ago
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$10k
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$45 per hour
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