The Onvida Health unit at Yuma Regional Medical Center is seeking an RN Utilization Review Specialist for night shift. You will conduct prospective and concurrent medical record reviews to determine medical necessity and appropriate level of care, and support admission and continued stay decisions.
You will collaborate with physicians and care teams, ensure CMS and payer requirements are met, and help optimize reimbursement and resource utilization while maintaining clinical excellence.
#J-18808-LjbffrRN Utilization Review Specialist | Night Case Management in yuma at Unknown Company
This position is listed as full time and onsite.