Torrance Memorial Medical Center is seeking a Utilization Review Case Manager to review patient charts and validate appropriate levels of care using InterQual/MCG criteria. The role secures payer authorizations through collaboration with payers and healthcare teams, ensuring CMS utilization review standards are met.
The UR CM engages with RN Case Managers, physicians, patients, and families to optimize discharge planning and documentation while maintaining regulatory compliance and quality
#J-18808-LjbffrRN Utilization Review Specialist | Case Management in torrance at Unknown Company
This position is listed as full time and onsite.