UM Review Nurse: Impactful Care & Compliance
Listed on 2026-10-17
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Nursing
Healthcare Nursing, Nurse Practitioner, Public Health Nurse, Clinical Nurse Specialist
Aloha Care in Hawaii is seeking a UM Review Nurse to conduct prior authorizations and concurrent reviews, using proprietary and online tools to evaluate medical necessity and documentation that integrates service requests, care management, and claims.
The role emphasizes collaboration with Medical Directors to implement policies compliant with MedQUEST, Medicare, NCQA, and state regulations, focusing on efficient workflows and high-quality provider communication.
For the UM Review Nurse:
Impactful Care & Compliance position at Alohacare, we are reviewing applications now.
We are looking to fill the UM Review Nurse:
Impactful Care & Compliance position at Alohacare in Honolulu, HI, United States.
The UM Review Nurse:
Impactful Care & Compliance role at Alohacare is now open for applications in Honolulu, HI, United States.
Join us at Alohacare as our next UM Review Nurse:
Impactful Care & Compliance in Honolulu, HI, United States.
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