COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management and focuses on timely, cost-effective decision-making.
Responsibilities include prior authorizations, case conferences, documentation in EMR, and ensuring compliance with Medicare/Medicaid rules while supporting safe discharge and transition back to the
#J-18808-LjbffrRemote Nurse Utilization Manager in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.