Zachary Piper Solutions

Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization.. The Remote Utilization Management Nursewill be serving as an essential bridge between health care and medical coverage.. Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.

utilization management

Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. The Remote Utilization Management Nursewill be serving as an essential bridge between health care and medical coverage.Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.Coordinate with patients and providers to produce high quality careQualifications of the Remote Utilization Management Nurse:RN or LPN- North Carolina license3 + years of clinical experience, inpatient, ER/emergency clinical experience Case Management experience Utilization Management experience Compensation for the Remote Utilization Management Nurse:Annual Salary Range: $76,000-$79,000Comprehensive Benefits: Medical, Dental, Vision, 401k Skills: RN, LPN, registered nurse, ER, Inpatient, emergency room, case management, CM, Care Management, Case Manager, utilization management, UM, MCG, Medical Necessity#LI-REMOTE

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