RN Precertification Analyst
We are seeking a Michigan RN – Remote Utilization Management: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through […]
RN Utilization Management
We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job Description: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. […]