CHRISTUS Health seeks a Utilization Management Nurse II to determine clinical appropriateness and ensure proper hospital resource use. You will perform pre-admission, concurrent, and retrospective reviews using InterQual/MCG criteria and coordinate with payors to obtain approvals.
You will communicate with the care team, review documentation for medical necessity, and support discharge planning while complying with CMS and Joint Commission guidelines.
#J-18808-LjbffrUtilization Management Nurse II: Care Optimization Pro in corpus christi at Unknown Company
This position is listed as full time and onsite.