Remote RN: Utilization Management Nurse
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Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
IEHP is seeking an experienced Utilization Management Nurse in California to lead prospective, concurrent and retrospective reviews of referrals, ensuring regulatory compliance and clear member correspondence.
Under the guidance of the UM Manager, you will apply nationally recognized UM criteria, assess medical necessity, and collaborate with physicians and care teams to meet members' needs while supporting IEHP's commitment to quality and patient-centered care.
We invite applications for the Remote RN:
Utilization Management Nurse position located in CA, United States.
This is a Full Time role.
The position is based in CA, United States.
This opportunity is part of our work in Human Resources, Bio & Pharmacology & Health.
The advertised compensation is 85..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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