Cook Children's Health Plan in Fort Worth, TX seeks an experienced RN Reviewer for Utilization Management to coordinate care and ensure timely, quality services for plan members. The role focuses on behavioral health and ambulatory care, with cross-training across areas as needed.
The RN UM/ECM Reviewer assesses clinical information, determines medical necessity with the Medical Director, and uses MMC criteria to authorize services while maintaining regulatory timelines.
#J-18808-LjbffrRemote RN Utilization Management Reviewer in workfromhome at Unknown Company
- Typical pay
- $87,880–$139,360
For context, most registered nurses earn between $87,880–$139,360 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.