Leave Your Mark is seeking a Registered Nurse for Utilization Review to support a Michigan health plan client from a home-based setting. The role focuses on prospective, concurrent, and retrospective reviews to determine medical necessity, level of care, and length of stay for various services.
You will apply clinical judgment and evidence-based criteria, work with the medical director when needed, and ensure documentation meets accreditation and regulatory standards.
#J-18808-LjbffrRemote Utilization Review Nurse (RN) in workfromhome at Unknown Company
This position is listed as full time and onsite.