Maine Community Health Options seeks a Clinical Specialist to support Medical Management by applying evidence-based criteria to medical necessity reviews and coordinating community resources for members. The role requires collaboration with Medical Directors and care teams, with a focus on timely documentation and confidentiality.
The ideal candidate brings RN licensure in Maine, UM experience, and comfort with Quick decision-making across care settings.
#J-18808-LjbffrRemote Clinical Specialist - Utilization Management (RN) in workfromhome at Unknown Company
This position is listed as full time and onsite.