Omega Healthcare Management Services Pvt. Ltd. is seeking a Clinical Utilization Management RN to lead review programs and collaborate with care teams in a remote home-office setting.
The role requires strong knowledge of InterQual criteria, Medicare guidelines, and payer policies, with UR/UM experience and staff mentoring. Responsibilities include medical necessity reviews, coordinating authorizations, developing standardized workflows, and KPI monitoring to drive regulatory compliance and
#J-18808-LjbffrRemote UM Lead & CDI Mentor (RN) in boca raton at Unknown Company
This position is listed as full time and able to be worked remotely.