SIHO Insurance Services seeks an experienced Utilization Management Nurse in Columbus, IN. This full-time, exempt RN role focuses on coordinating care, ensuring medical necessity, and aligning services with plan guidelines across episodes of care.
You will perform pre-service, concurrent, and post-service reviews, interact with members and providers, document thoroughly in the standard system, and collaborate with the Medical Director to ensure timely, compliant decisions.
#J-18808-LjbffrUtilization Management Nurse - Drive Quality Care in columbus at Unknown Company
This position is listed as full time and onsite.