Cook Children's Health Plan (CCHP) is seeking an RN Utilization Management/Episodic Case Manager Reviewer to coordinate and optimize health-care resource use for members in Texas. The role works with the Department Manager and Team Lead to ensure timely, quality care across the care continuum.
The RN reviewer assesses clinical information, determines medical necessity with the Medical Director, and uses MMC criteria to authorize services while ensuring timely communications and adverse
#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.