RN Utilization Management Specialist
Listed on 2026-10-17
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Community Care, Inc. is seeking a Registered Nurse to review utilization requests and coordinate care for members, including high-risk populations.
You will be part of the Utilization Management Team, applying clinical criteria to determine medical necessity and documenting all determinations. Responsibilities include reviewing outpatient, inpatient, and post-acute services; partnering with physicians and care teams; identifying cases for Care Management; and ensuring timely communication and
This role, RN Utilization Management Specialist at Community Care, Inc., could be your next opportunity.
Full responsibilities and requirements are described in the listing above.
Learn more about the RN Utilization Management Specialist role in the description above.
We appreciate your interest in this position.
Join Community Care, Inc. and contribute to our ongoing work.
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