Ensemble Health Partners is seeking a Virtual Utilization Review Specialist to join our remote team. You will perform medical necessity reviews, manage denials, and coordinate with FCC and care management to optimize patient care while controlling costs.
Qualified candidates hold a current RN license, have at least 1 year in denials management and utilization review, and are proficient with Epic EMR. This remote role requires strong communication, collaboration, and adherence to CMS guidelines.
#J-18808-LjbffrRemote Utilization Review RN: Denials & Medical Necessity in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.