SCAN, a California-based nonprofit health organization, seeks a temporary Medicare Advantage UM Physician to provide physician-level determinations for prior authorization, concurrent reviews, and appeals. The role requires California residency familiarity with Medicare Advantage UM practices and NCQA/URAC standards.
The ideal candidate has board certification, a current MD/DO license, and 5+ years of clinical practice with 2–3 years in utilization management, including peer-to-peer discussions
#J-18808-LjbffrLead Utilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.