Devoted Health is seeking a Clinical Guide for our Outpatient Utilization Management team. You will perform timely clinical reviews of outpatient authorization requests, applying evidence-based criteria to determine medical necessity and appropriate setting.
This full-time, remote role supports CMS and Medicare Advantage requirements while coordinating with providers and internal teams. The ideal candidate is detail-oriented, able to handle high volumes, and comfortable documenting decisions
#J-18808-LjbffrUtilization Management Nurse - Outpatient Prior Authorization in northern at Unknown Company
This position is listed as full time and able to be worked remotely.