Remote Utilization & Outcomes RN Manager

A healthcare organization located in Marlton, New Jersey is looking for a qualified RN to ensure compliance for medical necessity through effective communication and documentation. The ideal candidate will have a minimum of three years of clinical nursing experience, alongside knowledge of Medicare and Medicaid. This role involves managing denials, consulting with Physician Advisors, and conducting audits to maintain positive patient outcomes.

A BSN is preferred, and candidates must hold licensure from the State of New Jersey.
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