Medicare Utilization Review RN — Care Optimization
Listed on 2026-11-01
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Nursing
RN Nurse, Healthcare Nursing, Travel Nurse
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., is seeking an Utilization Review Nurse to assess medical necessity across pre-service, concurrent, and retrospective reviews. You will support the Clinical Services Department and Medical Director to ensure compliant, high-quality care for members.
The role requires an RN license, 1+ year UM experience, and knowledge of Inter Qual/MCG clinical criteria, with opportunities in a multi-state Medicare
We are currently recruiting a Medicare Utilization Review RN — Care Optimization for our team in Franklin, TN, United States.
This Full Time role is for the Medicare Utilization Review RN — Care Optimization role at American Health Plans.
We are seeking a motivated Medicare Utilization Review RN — Care Optimization to join American Health Plans in Franklin, TN, United States.
Consider building your career as a Medicare Utilization Review RN — Care Optimization at American Health Plans.
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