Utilization Review Nurse - Remote
Better Medicare Alliance(10 days ago)
About this role
The Utilization Review Nurse plays a vital role in ensuring high-quality, cost-effective healthcare for members by reviewing authorization requests, coordinating care, and managing medical necessity evaluations. The position involves collaboration with healthcare providers and internal teams to facilitate appropriate care levels and optimize health outcomes.
Required Skills
- Nursing
- Utilization Management
- Healthcare Policies
- Medical Records
- Critical Thinking
- CPT
- ICD-10
- Care Coordination
- Microsoft Office
- Clinical Documentation
About Better Medicare Alliance
bettermedicarealliance.orgN/A
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