Capital District Physicians’ Health Plan, Inc. seeks a Utilization Management professional to coordinate reviews and collaborate with members, providers, and the Medical Director. The role requires an active NYS RN license, an associates degree, and UM experience to ensure compliant, efficient care.
You will participate in on-call rotations, mentor staff, and support process improvements across levels I–III. A strong knowledge of managed care contracts and coding standards is valuable.
#J-18808-LjbffrRN Utilization Management LTSS & Duals (Remote) in workfromhome at Unknown Company
This position is listed as contract and onsite.