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RN Utilization & Appeals Specialist

Spectrum Health

Corewell Health is seeking a part-time Utilization Management professional in Southfield, MI, to oversee utilization reviews, coordinate certifications, and communicate with payers for authorizations. This role requires UR experience and RN licensure in Michigan. Responsibilities include referrals for 2nd level reviews, collaboration with Clinical Appeals and Revenue Cycle, and maintaining EMR work queues to ensure timely reviews and compliant documentation. #J-18808-Ljbffr Spectrum Health

Vacancy posted 2 days ago
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