Better Medicare Alliance

Utilization Review Nurse - Remote

Better Medicare Alliance(1 month ago)

Portland, MEOnsiteFull TimeMedior$68,057 - $92,653 (estimated)Healthcare
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About this role

The Utilization Review Nurse at Martin's Point Health Care plays a crucial role in ensuring high-quality, cost-efficient medical outcomes for enrollees needing inpatient and outpatient authorizations. This position involves reviewing prior authorization requests, coordinating transitions of care, and managing relationships with healthcare providers to ensure optimal patient advocacy and resource management.

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Required Skills

  • Nursing
  • Utilization Management
  • Patient Advocacy
  • Medical Review

Qualifications

  • Associate’s Degree in Nursing
  • Compact RN License

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