Senior Utilization Review Nurse III - Clinical Specialist
NALHE
NALHE is seeking a professional in Pleasanton, California, to provide advanced clinical and regulatory consultation regarding medical necessity. This role involves collaborating with healthcare teams and managing the duration of treatment for moderately complex cases. The ideal candidate will support educational and compliance initiatives, conduct utilization reviews, and implement quality improvement strategies while ensuring adherence to regulations and guidelines. Strong communication and analytical skills are essential for this position. #J-18808-Ljbffr NALHE
Vacancy posted 3 days ago
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