Remote Utilization Review Nurse - Outpatient
All Care To You
New York, NY
- Remote job
All Care To You is seeking a UM Outpatient Review Nurse to join our Case Management team. This remote role emphasizes clinical review, medical necessity determinations, and collaboration with health plans, providers, and members to support high-quality patient outcomes. You will apply CMS, NCQA, and clinical guidelines to determine coverage, maintain high interrater reliability, and meet turnaround times for urgent and routine reviews. #J-18808-Ljbffr All Care To You
Vacancy posted 2 days ago
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