All Care To You is seeking a UM Outpatient Review Nurse to join the Case Management team. You will evaluate authorization requests for medical necessity, apply CMS and health plan criteria, and coordinate with Medical Directors to ensure appropriate care decisions are made.
The role requires clinical expertise, strong documentation, and the ability to maintain high-quality reviews within target turnaround times in a fully remote work environment.
#J-18808-LjbffrRemote Utilization Review Nurse - Outpatient in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.