HealthEdge Software, Inc. is seeking a highly motivated Utilization Review RN to join our team.
The RN will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, and ancillary services to ensure medical necessity, appropriate length of stay, and level of care, including appeals initiated by providers and members. Responsibilities include authorizing services, coordinating discharge planning, and documenting outcomes while maintaining regulatory standards.
#J-18808-LjbffrUtilization Review Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.