Curana Health seeks an experienced Utilization Management Nurse to review and monitor members’ use of healthcare services, ensuring high-quality, cost-effective care. The role emphasizes concurrent review, discharge planning, and high-dollar claims analysis, with remote telephonic duties and occasional weekend coverage.
The position collaborates with the Plan Medical Director and Quality Improvement to ensure appropriate authorizations and care transitions across hospital and SNF settings.
#J-18808-LjbffrRemote Utilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.